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ADMINISTRATOR CLAIM NUMBER JURISDICTION REPORT PURPOSE CODE JURISDICTION CLAIM NUMBER INSURED REPORT NUMBER LOCATION # EMPLOYER S LOCATION ADDRESS (IF DIFFERENT) PHONE # SIC CODE EMPLOYER FEIN CARRIER (NAME, ADDRESS & PHONE NO) POLICY PERIOD Workers Compensation Fund of Utah P.O. Box 57929 Salt Lake City, UT 84157-0929 Telephone: (801) 288-8010 TO CHECK IF APPROPRIATE CARRIER FEIN CLAIMS ADMINISTRATOR (NAME, ADDRESS & PHONE NO.) SELF INSURANCE POLICY/SELF INSURED NUMBER ADMINISTRATO.
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Underwriting FAQ
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If you have been hurt at work, the Illinois Workers' Compensation Act requires your employer to pay for your medical treatment, lost wages, retraining if you cannot return to your former job, and compensation for a permanent disability.
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ILLINOIS FORM 45: EMPLOYER'S FIRST REPORT OF INJURY. ILLINOIS FORM 45: EMPLOYER'S FIRST REPORT OF INJURY Illinois.gov https://www2.illinois.gov › iwcc › Documents Illinois.gov https://www2.illinois.gov › iwcc › Documents PDF
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Your employer has a duty to protect you and tell you about health and safety issues that affect you. They must also report certain accidents and incidents, pay you sick pay and give you time off because of an accident at work should you need it. Accidents in the workplace | nidirect nidirect.gov.uk https://.nidirect.gov.uk › articles › accidents-workpl... nidirect.gov.uk https://.nidirect.gov.uk › articles › accidents-workpl...
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You must notify your employer of the accidental injury or illness within 45 days, either orally or in writing. To avoid possible delays, it is recommended the notice also include your name, address, telephone number, Social Security number, and a brief description of the injury or illness.
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You can receive a workers' comp settlement offer at any time throughout a case. However, most cases are settled within 6 months and are almost always paid out after the injured worker has reached maximum medical improvement (MMI) – the point where a doctor has determined the injured worker has recovered.
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A frequently asked question from workers' compensation clients is if the workers' compensation insurance carrier can simply stop paying them if they so choose. The answer to that question is an emphatic no.
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The Employer's First Report of Occupational Injury or Illness form is to be completed by an employer or its workers' compensation insurance carrier to notify the Workers' Compensation Commission of occupational injuries or illnesses that result in incapacity for one day or more. Employer Forms - Workers' Compensation Commission - CT.gov ct.gov https://portal.ct.gov › WCC › Employer-Forms ct.gov https://portal.ct.gov › WCC › Employer-Forms
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The employer is required to file an Employer's First Report of Injury or Illness [DWC FORM-001 Rev. 10/05] with the injured worker's insurance carrier, and the injured claimant or the claimant's representative within 8 days after the employee's absence from work or receipt of notice of occupational disease. Employer's First Report of Injury or Illness tamus.edu https://.tamus.edu › assets › files › safety › pdf › em... tamus.edu https://.tamus.edu › assets › files › safety › pdf › em...
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