Get Dwc Form-001 (employer 's First Report Of Injury Or Illness)

Filling out the DWC FORM-001 is a critical step in the workers' compensation process. This guide provides a comprehensive, step-by-step approach to completing the form online, ensuring you provide all necessary information accurately and promptly.

Follow the steps to successfully complete the form

1. Click the ‘Get Form’ button to obtain the DWC FORM-001 and open it in your online document editor.
2. Begin by filling in the employer details. Input the claim number and both the employer's and insurance carrier's names, as well as contact information where applicable.
3. Next, enter the injured person's information. Fill in their name, sex, social security number, home phone, marital status, and number of dependent children.
4. Provide the injured person's address and date of birth in month, day, year format.
5. Indicate whether the employee speaks English and specify their race and ethnicity.
6. Complete sections regarding the nature and part of the body injured, ensuring that you provide detailed descriptions of the injury and how it occurred.
7. Incorporate information about the worksite location and the cause of the injury. List any witnesses to the incident, including their names and contact details.
8. Document the doctor’s information, including their mailing address.
9. Provide details about the return to work date or the expected date, as well as the employee's length of service in their occupation and work schedule.
10. Finalize by reviewing all sections for accuracy. Once completed, save your changes, download a copy, print the document if necessary, and share it with the appropriate parties.

Complete your DWC FORM-001 online to ensure timely and accurate filing.