Get Uc 1

Filling out the Uc 1 form online can be a straightforward process when you understand each section. This guide will provide you with clear and detailed instructions to help you complete the form accurately.

Follow the steps to successfully fill out your Uc 1 form online

1. Click ‘Get Form’ button to obtain the form and open it in the editor for completion.
2. Begin by entering the case or file number at the top of the form. This helps in identifying the specific report related to the occupational injury or disease.
3. Fill in the employee's first, middle, and last name in the designated sections.
4. Provide the employee's complete address, including the county and ZIP code to ensure accurate record-keeping.
5. Enter the date of birth and age of the employee. This information is essential for verifying the identity of the individual.
6. Indicate the employee's occupation and the department or division they are regularly employed in.
7. Fill in the employer's UC reporting number, followed by the employer's name and contact information, including the telephone number.
8. Document the start date of employment and the duration of employment with the company.
9. Provide information on the weekly hours worked, wage, and whether the employee is back to work after the incident.
10. Describe the nature of the injury or illness, including the specific part of the body affected.
11. Detail how the injury occurred, including the activities the employee was engaged in at the time of the incident.
12. List the date and time of the injury, and if applicable, the date of death for fatal injuries.
13. Complete the physician's name and address information, along with that of any hospital involved.
14. Provide the name and complete address of the worker’s compensation insurance company, ensuring the policy number is included.
15. Once all fields have been completed accurately, review the information for any errors before proceeding to save changes, download, print, or share the form.

Start completing your Uc 1 form online today for quick and efficient submission.