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WORKERS COMPENSATION INTAKE SHEET Referring physician: Patient name: Address: Social Security #: Phone #: ( )Todays date: DOB: / /// Age://Gender: M / F Email Address:EMPLOYER INFORMATION Employer.

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Types of work-related injuries wounds and cuts. burns. fractures. psychological injuries.

Did you know that most athletic injuries can be boiled down into three main categories? Acute, Overuse, and Chronic.

Work-related accidents are defined as any injury, illness, or condition you experience during your employment with a company, and related to your job duties and tasks while at work. These injuries are further categorized into physical injuries, occupational illnesses, and repetitive stress injuries.

If you are injured at work, or have a work-related illness: Immediately report any work-related injury to your supervisor. If you require emergency medical treatment, obtain care first, and then notify your supervisor as soon as possible after receiving treatment.

The OSHA 300 Log requires employers to check one of 6 boxes to categorize the injury/illness: (1) injury (2) skin disorder (3) respiratory condition (4) poisoning (5) hearing loss (6) all other illnesses. There are spaces to record days of job transfer or work restriction, as well as days away from work.

Common Types of Workplace Accidents Lacerations and bruising. Broken bones. Ligament sprains and tears. Tendon and muscle strains and tears. Herniated discs. Whiplash injuries. Repetitive stress injuries. Neck and back injuries.

All employers are required to notify OSHA when an employee is killed on the job or suffers a work-related hospitalization, amputation, or loss of an eye. A fatality must be reported within 8 hours. An in-patient hospitalization, amputation, or eye loss must be reported within 24 hours.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232