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Get Bwc First Report Of Injury - Careworks
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How to fill out the BWC First Report Of Injury - CareWorks online
Filling out the BWC First Report of Injury - CareWorks form accurately is essential for timely processing of your injury claim. This guide provides you with clear, step-by-step instructions on how to complete the form online, ensuring that all necessary information is included for the best possible outcome.
Follow the steps to fill out the form correctly.
- Click ‘Get Form’ button to obtain the form and open it for completion.
- Begin by entering your personal information, including your last name, first name, middle initial, Social Security number, date of birth, and home mailing address.
- Indicate your marital status and number of dependents. Specify your wage rate and how often it is paid (hourly, weekly, monthly, or yearly).
- List your regular work hours and the days of the week you typically work. Include your occupation or job title, and provide the name of your employer.
- Fill in the accident details, including the date of injury, time of injury, place of accident, and description of the accident.
- Specify the type of injury or disease and the parts of your body that are affected.
- Review the benefit application release of information section carefully and sign the form, providing your email address and telephone number.
- After completing all sections of the form, save your changes, and then you can download, print, or share the completed document as necessary.
Start completing your BWC First Report Of Injury - CareWorks form online today for a smooth claim process.
The employer is required to file an Employer's First Report of Injury or Illness [DWC FORM-001 Rev. 10/05] with the injured worker's insurance carrier, and the injured claimant or the claimant's representative within 8 days after the employee's absence from work or receipt of notice of occupational disease.
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