Get Ok Cc Form 2 2014-2025

Filling out the OK CC Form 2 is a crucial step in reporting an injury for workers’ compensation purposes. This guide will provide you with clear, step-by-step instructions to complete the form online with ease.

Follow the steps to successfully complete the form online:

1. Press the ‘Get Form’ button to obtain the form and open it in your preferred editor.
2. Provide the full name of the employee in the format LAST, FIRST, MIDDLE in the designated field.
3. Enter the employee’s email address to ensure communication can be established regarding the injury.
4. Fill in the complete address of the employee, including city, state, zip code, and telephone number.
5. Input the last four digits of the employee’s Social Security number, followed by the date of birth.
6. Indicate the employee's sex and the length of employment in years and months.
7. Record the date of hire in the MM/DD/YY format.
8. Provide the average weekly wage of the employee.
9. Describe the employee’s occupation or job title clearly.
10. Answer whether the employment agreement was made in Oklahoma by checking 'YES' or 'NO'.
11. Document the date of the accident or last exposure along with the time it occurred.
12. Specify the last date the employee worked prior to the accident.
13. Indicate if the employer was notified about the incident and provide the date of notification.
14. If applicable, provide details about any death related to the injury.
15. Describe the place of the accident, including city and county.
16. Indicate whether the injury resulted from a single incident or cumulative trauma.
17. Provide detailed information about the nature of the injury or illness and activities at the time of the incident.
18. Identify the body parts involved in the injury.
19. Fill out the full name and address of the treating physician.
20. Enter details about the employer’s insurance carrier or self-insured group, including policy number.
21. Complete the employer’s information, including name, phone number, address, and type of business.
22. Choose the type of ownership from the provided options.
23. Review all entered information for accuracy before finalizing.
24. Once completed, save the changes, and download or print the form for submission as required.

Complete your workers’ compensation documentation online today to ensure timely reporting.