Loading
Get Employee's Report Of Injury (sorm-29)
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the EMPLOYEE'S REPORT OF INJURY (SORM-29) online
Filling out the EMPLOYEE'S REPORT OF INJURY (SORM-29) is a crucial step in reporting work-related injuries. This guide will help you navigate through the form online, ensuring that you provide all necessary information in a clear and concise manner.
Follow the steps to complete the form accurately.
- Click ‘Get Form’ button to obtain the form and open it in your preferred digital format.
- Begin by entering your personal information in the appropriate fields, including your name, social security number, and address. Ensure that all entries are legible and complete.
- Provide details about your employer, including the company's name and address, along with your job title and work schedule.
- Indicate the date of your injury and describe the exact location where the accident occurred, using the street address if possible.
- Detail the circumstances around the incident by explaining what was happening at the time and what actions led to your injury.
- Specify the body parts that were injured and state to whom and when you reported the injury.
- List all witnesses to the incident, ensuring to include their names and contact information.
- Provide information about the first doctor you consulted, including their name, phone number, and address.
- Indicate if you have returned to work and provide the expected date of return if you have not.
- State the date of your last medical appointment and whether you have lost wages due to your injury.
- List the names and phone numbers of any other medical practitioners you have consulted regarding your injury.
- Indicate whether you have had previous workers compensation injuries and provide details on those incidents.
- Finally, sign and date the form, affirming that all information provided is true and accurate.
- After completing the form, save your changes, and be sure to submit it online within the specified filing deadline.
Complete your EMPLOYEE'S REPORT OF INJURY (SORM-29) online today to ensure a prompt processing of your claim.
The Employer's First Report of Injury or Illness provides information on the claimant, employer, insurance carrier and medical practitioner necessary to begin the claims process. Details of the claimant's employment and circumstances surrounding the injury or illness are also requested.
Industry-leading security and compliance
US Legal Forms protects your data by complying with industry-specific security standards.
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.