Get Libc 344

The Employer's Report of Occupational Injury or Disease (form Libc 344) is essential for documenting workplace injuries and ensuring proper handling of workers' compensation claims. This guide provides clear, step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to complete the Libc 344 form online.

1. Click the ‘Get Form’ button to obtain the form and open it in the designated editor.
2. Ensure that you complete the Injury Report on both sides using blue or black ink or typewritten text.
3. For all date entries, use the MMDDYYYY format. For time entries, use HHMM and check the AM or PM box as appropriate.
4. Under the type of injury, part of body affected, and cause of injury codes sections, use the provided code tables to enter the most accurate description and corresponding numerical codes.
5. Fill in the Date of Injury and indicate the Last Day Worked; if no work was missed, leave the Date Disability Began blank.
6. Complete the sections on employer notification and describe the type of injury and body parts affected using the accurate codes and descriptions.
7. Specify if the injury occurred on the employer's premises, and if applicable, check the boxes regarding safety equipment.
8. Provide a detailed description of how the injury or illness occurred in the provided field, using additional sheets if necessary.
9. If applicable, fill in the name of the healthcare provider and any initial treatment received.
10. Finally, review the completed report for accuracy, then save changes, download, print, or share the form as needed.

Start filling out your Libc 344 form online today!