Get Claims Kit Your Guide To Reporting An Injury Ouch

Filing a claim for an injury can be a daunting task, but the Claims Kit provides essential guidance. This document serves as a complete resource for report submission, helping you navigate the claims process efficiently and effectively.

Follow the steps to accurately complete your Claims Kit and report an injury online.

1. Click ‘Get Form’ button to acquire the Claims Kit and open it in your selected editor.
2. Review the Quick Reference Guide included in the kit to familiarize yourself with the process for reporting an injury.
3. Complete the Employer’s Report of Occupational Injury or Illness (form e3067) by inputting the necessary details about the injured employee, including their name, Social Security Number, date of hire, date of injury, and location of the accident.
4. Submit the Employer’s Report to State Fund’s Claims Reporting Center over the phone, ensuring to have all the required information ready for a representative to process.
5. Fill out the Workers’ Compensation Claim Form (form e3301/DWC 1) within one working day of the injury's occurrence. Provide the injured employee with a copy and retain a record for your files.
6. Once all forms are filled out, save changes, download, or print the required documents for your records and submission.

Take the necessary steps to complete your claims documents online and ensure timely reporting.