Get Workers' Compensation Statement - Brown University

This guide provides comprehensive instructions on how to complete the WORKERS' COMPENSATION STATEMENT required by Brown University. Follow these steps to ensure a smooth experience while providing the necessary information about prior Workers' Compensation claims.

Follow the steps to complete the WORKERS' COMPENSATION STATEMENT accurately.

1. Use the ‘Get Form’ button to access the workers' compensation statement form and open it in your online document editor.
2. Read the introductory information carefully. Make sure you understand the implications of providing or omitting information regarding any previous Workers' Compensation claims before proceeding with the form.
3. Indicate whether you have read and understood the provided statements by selecting either 'Yes' or 'No'. This section confirms your acknowledgment of the requirements.
4. Decide if you have ever received Workers' Compensation. Select either 'Yes' or 'No'. If you select 'Yes', proceed to detail the claims in the next field.
5. If you answered 'Yes' to receiving Workers' Compensation, provide the dates of all claims and describe the nature of your injuries in the designated area. Be thorough and accurate to avoid future complications.
6. Fill out your personal details including your name, title, and department in the provided fields. Make sure to print these details clearly.
7. Sign the form to verify that the information you have provided is accurate. If you choose to decline signing the form, indicate that as well by checking the designated option.
8. After completing the form, check for any errors or missing information. Once confirmed, save your changes, and you can opt to download, print, or share the completed document as needed.

Complete your WORKERS' COMPENSATION STATEMENT online today to ensure a seamless onboarding process at Brown University.