Get Work Related Injury / Illness Procedure

This guide provides clear instructions on how to accurately fill out the WORK RELATED INJURY / ILLNESS PROCEDURE online. By following these steps, you can ensure that your report is completed efficiently and correctly.

Follow the steps to complete the form accurately.

1. Click ‘Get Form’ button to obtain the form and open it for filling out.
2. Immediately report any work-related injury or illness to your supervisor. If the incident was just reported and no medical care is needed, keep a blank copy for your records as the DWC-1 form does not need to be filled out.
3. If seeking medical care, complete lines 1-8 on the DWC-1. Sign the form and return it to your supervisor or the Workers' Compensation Analyst as soon as possible.
4. Following the report, a representative from Sedgwick CMS will contact you for additional information about your injury or illness.
5. As a supervisor, ensure that you access the required forms from the Environmental Health and Safety (EH&S) website. If you cannot provide the Claim Form (DWC-1) to the employee within 24 hours, call the designated number immediately.
6. Upon receiving notification of the injury, complete the Work Related Injury/Illness Form and provide the DWC-1 form to the employee for completion. Ensure they return it promptly if medical treatment is required.
7. Fax the completed forms to EH&S and keep copies for the employee's records.
8. If medical treatment is needed, contact the appropriate medical facilities immediately. Remember to follow up on any work status updates after each doctor’s appointment.
9. If no treatment is needed, submit the OII (Band-Aid) form. If the employee later requests treatment, they must contact the Workers' Compensation Analyst to submit the DWC-1 form.
10. Once everything is complete, save any changes, download, print, or share the form as needed.

Ensure that you complete your documents online accurately and efficiently.