Get La Lwc-wc-1007 2008-2025

The LA LWC-WC-1007 form is essential for employers to report occupational injuries or illnesses. This guide provides clear, step-by-step instructions on how to accurately complete the form online.

Follow the steps to fill out the LA LWC-WC-1007 form with ease.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Start by completing the employee social security number and employer UI account number at the top of the form. This information is crucial for identifying the employee and the employer.
3. In the employer report section, input the employer's federal ID number. This will help in tracking the report accurately.
4. Select the purpose of the report by checking all applicable boxes. Options include more than 7 days of disability, possible dispute, injury resulted in death, lump sum compromise/settlement, amputation or disfigurement, and other.
5. Enter the date of the report in MM/DD/YY format. This should reflect the date you are filling out the form.
6. Provide the date and time of the injury in the specified formats. Be sure to indicate whether the injury occurred in the morning or afternoon.
7. If the injury was fatal, include the date of death in the provided field.
8. Document the normal starting time of the employee on the day of the accident, selecting AM or PM as appropriate.
9. If the employee has returned to work, include the return date. Otherwise, indicate if the employee is receiving the same wage upon return.
10. Fill in the employee’s name, address, date of hire, date of birth, and phone number accurately.
11. Indicate whether the injury occurred on the employer's premises. If not, provide the location where the injury happened.
12. Describe entirely the work activity at the time of injury and include any equipment or materials involved.
13. Explain in detail the cause of the injury, naming any objects or substances involved and how they contributed to the incident.
14. List the part of the body injured and the nature of the injury or illness in clear terms.
15. If the injury involves an occupational disease, provide the date diagnosed and the physician's details.
16. After completing all fields, review the document for accuracy. Then, you can save changes, download, print, or share the form as needed.

Complete your LA LWC-WC-1007 form online today to ensure timely reporting!