Get First Report Of Injury Or Illness - South Carolina Workers ... - Wcc Sc

This guide provides clear instructions for completing the First Report Of Injury Or Illness form required by the South Carolina Workers' Compensation Commission. It serves as an essential tool for employers to accurately report workplace injuries or illnesses, ensuring compliance and support for affected individuals.

Follow the steps to successfully complete the form online.

1. Click ‘Get Form’ button to obtain the form and access it for completion.
2. Begin by filling out the employer's details including name, address, and carrier information. Ensure that all fields are accurately completed without entering data in shaded areas as instructed.
3. Next, provide employee information. This includes the employee's name, date of birth, social security number, occupation or job title, and employment status. Make sure to accurately reflect the employee's current situation.
4. In the occurrence/treatment section, enter the date of the injury or illness, time of occurrence, and if the injury occurred on the employer's premises. Also, ensure to include the last day worked and the date the employer was notified.
5. Detail the type of injury or illness, including the part of the body affected. Provide a description of how the injury occurred, stating specific activities and any equipment, chemicals, or materials involved.
6. If relevant, list any witnesses, the name and title of the preparer, and the contact information for follow-up inquiries.
7. Review all completed fields for accuracy and completeness. Once all information is verified, save any changes you made, and then download, print, or share the form as necessary.

Take the first step in managing workplace injuries by completing the form online today.