Get Oregon First Report Of Injury - Go Work Comp

Filing the Oregon First Report Of Injury - Go Work Comp online is a crucial step in the process of reporting a work-related injury or illness. This guide provides clear and detailed instructions on how to accurately complete each section of the form, ensuring a smooth submission experience.

Follow the steps to complete the form accurately and efficiently.

1. Press the ‘Get Form’ button to access the form and open it for editing. This will allow you to input your details directly into the required sections.
2. Begin with the self-insured employer and insurer information. Enter the name, address, phone number, and service company (if applicable) in the designated fields.
3. Fill out the Report of Job Injury or Illness section by providing necessary information about the worker. Include the date, time, and details of the injury or illness experienced.
4. Indicate the nature and specifics of the injury or illness by describing what occurred and the body part affected. Specify whether it is a left or right side injury.
5. Describe the cause of the injury, including details about the activity at the time of the incident and any tools or machinery involved.
6. Provide personal information for the worker, including their legal name, language preference, birthdate, mailing address, gender, home phone, and social security number.
7. List any witnesses present during the incident and include the name and phone number of the health insurance company.
8. Respond to questions regarding hospitalization and emergency room treatment. This information is essential for processing the workers' compensation claim.
9. Sign the form to certify that the information provided is true to the best of your knowledge. Your signature initiates the claim for workers' compensation benefits.
10. After completing the worker's section, the employer should fill out their portion of the form. Include the employer's legal business name, phone number, and details related to the incident.
11. Ensure that the completed form is given to the worker and maintain a copy in your records. Notify your workers' compensation insurance company within five days of the claim awareness.
12. Once all fields are filled out, save your changes and consider downloading, printing, or sharing the form as needed for your records or submission.

Complete your workers' compensation forms online today for a streamlined reporting process!