Get Dosh 1 Form

The Dosh 1 Form is important for notifying relevant authorities about an occupational accident or disease affecting an employee. This guide provides clear, step-by-step instructions for successfully completing the form online, ensuring you fulfill all necessary requirements.

Follow the steps to fill out the Dosh 1 Form online effectively.

1. Click ‘Get Form’ button to access the Dosh 1 Form and open it in your online editor.
2. Begin with Part 1, which requires the employer or occupier's particulars. Fill in the name of the employer/occupier, WIBA registration number, OSHA registration number, full address including P.O. Box, email address, phone number, nature of work, and the name and address of the insurance company covering the employee.
3. Proceed to Section 2 to input the injured or sick employee's particulars. Include their name, sex, age, occupation, full address, email address, telephone number, identity card number (or death certificate number if applicable), and location details.
4. In Section 3, report the details of the occupational accident. Document the date and time of the accident, whether it was fatal or non-fatal, whether the worker has resumed work, date of resumption, the place where the accident occurred, the employee's occupation, their duties at the time of the accident, length of service, work employed to undertake, cause of injury, type of injury, and which part of the body was injured.
5. If applicable, complete Section 4 with details on the occupational disease affecting the employee, including the date of diagnosis, the medical practitioner's name, notification date to the employer, and the cause of the occupational disease.
6. In Section 5, provide information on total monthly earnings at the date of the accident or disease. List salary, allowances, and any overtime or special remuneration, summing up the total earnings provided to the employee during the incapacity.
7. At the end of the form, include the name and signature of the employer or the person notifying on their behalf, along with their designation and date.
8. Review the completed form to ensure all fields are filled accurately. After verifying, you can save changes, download, print, or share the form as necessary.

Complete your Dosh 1 Form online today to ensure prompt reporting of occupational incidents.