Get D-8 Form - Firstcomp

Filling out the D-8 Form - FirstComp online is an essential step in ensuring that an injured worker receives the necessary compensation. This guide provides clear, step-by-step instructions to help you navigate the form effectively.

Follow the steps to successfully complete the D-8 Form - FirstComp.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the date at the top of the form. This marks when the document is completed.
3. Fill in the injured employee's name using their last name, first name, and middle initial.
4. Provide the claim number associated with the employee's case.
5. Enter the Department of Personnel and Training (D.P.T.) number if applicable.
6. Input the employee’s social security number, ensuring all digits are correct.
7. Record the date of injury to establish a timeline for the claim.
8. Note the date of hire to assess the employee's duration of service.
9. Answer whether the employee was hired to work 40 hours per week by checking 'Yes' or 'No'. If 'No', indicate the number of hours worked per week.
10. Document the employee's wage as of the date of injury, specifying the amount in dollars.
11. Indicate the number of days the employee worked per week along with the payment interval (hour, day, week, month).
12. Mention if vacation, sick leave, holiday pay, and overtime were paid during the appropriate twelve-week period.
13. For previous wages, provide prior amounts if the current wage has been in effect for less than twelve weeks.
14. Answer relevant questions about changes in job duties, hours, or pay that the employee may have experienced during the previous twelve-week period.
15. Complete sections related to commissions, bonuses, and any declarations regarding tips.
16. Lastly, certify the correctness of all provided information by signing and dating the form before submission.
17. Once completed, users can save changes, download, print, or share the form as needed.

Complete your D-8 Form - FirstComp online with these steps for accurate submission.