We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use.
Click "here" to read our Cookie Policy. By clicking "Accept" you agree to the use of cookies. Read less
Read more
Accept
Loading
Form preview
  • US Legal Forms
  • Form Library
  • More Forms
  • More Multi-State Forms
  • Ok Workers' Compensation Cc-form-1a 2021

Get Ok Workers' Compensation Cc-form-1a 2021-2025

Act are hereby notified that this employer has complied with all rules of the Workers' Compensation Commission and that this employer has secured payment of compensation for all employees and their dependents in accordance with the Act. All employees are further notified this employer will furnish first aid, medical, surgical, hospital, optometric, podiatric, chiropractic and nursing services, medicine, crutches and other apparatus as may be reasonably necessary in connection with the injury rec.

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to fill out the OK Workers' Compensation CC-Form-1A online

This guide will help you navigate the process of completing the OK Workers' Compensation CC-Form-1A online. By following these steps, you will ensure that all necessary information is accurately provided, facilitating a smooth claims process.

Follow the steps to successfully fill out the form.

  1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin with the section that outlines the employee's and employer's responsibilities. Carefully read the instructions to understand the requirements for notifying your employer in case of an injury.
  3. Fill in the employer's information, including the company name, address, and contact details. Ensure accuracy, as this information helps facilitate communication regarding the claim.
  4. Provide the employee's details, including full name, contact information, and the nature of their work. This information is essential for processing the claim.
  5. Complete the section regarding the details of the injury or illness. Include information such as the date of the incident, a description of what happened, and any medical treatment received.
  6. Review the information you have entered to ensure there are no mistakes or missing fields. Accuracy is crucial for the successful filing of your claim.
  7. Once all sections are completed and reviewed, save your changes. You may also choose to download, print, or share the form as required.

Begin completing your documents online today to ensure a timely filing process.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

Oklahoma Workers' Compensation Commission - Forms
Sep 22, 2020 — Forms. Form Number, Title. CC- Form 1A, Oklahoma Workers' Compensation...
Learn more
[PDF] Workers' Compensation Notice - Oklahoma...
CC-Form-1A. Oklahoma Workers' Compensation Notice and Instruction to Employers and...
Learn more
Soil Vapor Extraction and Bioventing - USACE...
Jun 3, 2002 — 1110-1-4001 ... using the analytical form over one of the widely available...
Learn more

Related links form

USEA Show Jumping Score Sheet 2017 DK International School Of Hellerup School Withdrawal Form 2017 FL Application For Water Service - City Of Boca Raton 2011 FL Notice Of Commencement - County Of St Johns 2008

Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

Workers compensation in Oklahoma is a “no-fault” system. You may qualify for workers comp benefits even if you were wholly or partially at fault for your injury or illness – as long as it arose from your employment. However, if you were intoxicated at the time of the incident, an employer can deny your claim.

To file for workers' compensation, you will need to file Form 3 "Employee's First Notice of Accidental Injury and Claim for Compensation" with the Oklahoma Workers' Compensation Court. Your employer may also file this form on your behalf, directly with their insurer or the court.

The form is listed under Affidavit of Exempt Status on the Case OK website. The cost for an Affidavit of Exempt Status is $50.00 plus a $1.00 online processing fee. Please note the Workers' Compensation Commission will not accept checks for the Affidavit of Exempt Status Fee.

Amount: compensation is equal to 70% of the difference between the employee's average weekly wages and the employee's wage-earning capacity in the same employment or otherwise, if less than before the injury. It may not exceed 80% of the employee's average weekly wages at the time of the accident.

A CC-Form 2 must be sent to the Workers' Compensation Commission and to the employer's workers' compensation insurance carrier within 10 days after the date of receipt of notice or knowledge of death or injury that results in more than three days' absence from work for the injured employee.

The law states that nearly every employer is required to carry workers' compensation coverage. In some circumstances, certain employees in Oklahoma may be exempt from workers' comp coverage, such as: Sole proprietors. Members of a limited liability company (LLC) who own at least 10% of the capital.

All Oklahoma employers are required to carry workers' compensation insurance. Oklahoma's workers' compensation system covers medical expenses and lost wages resulting from work-related injuries and illnesses.

Independent contractors are not employees under Oklahoma workers' compensation law. Many employers are under the mistaken impression that a single action or practice can grant them exemption from workers' compensation law.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get OK Workers' Compensation CC-Form-1A
Get form
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
Bug Bounty Program
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:
+1 833 426 79 33
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
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
Bug Bounty Program
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:
+1 833 426 79 33
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