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Get Hi Wc-1 2001
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How to fill out the HI WC-1 online
The HI WC-1 is an essential form for reporting workplace injuries that require medical attention or result in absence from work. This guide will provide you with a clear, step-by-step approach to completing the HI WC-1 online, ensuring accurate and timely submissions.
Follow the steps to successfully complete the HI WC-1 form online.
- Press the ‘Get Form’ button to obtain the HI WC-1 form and open it in your digital workspace.
- Begin by filling out the identification section. Enter the employee's last name, first name, and middle initial where required. Include the social security number, date of birth, and marital status by selecting the appropriate options.
- Provide the employee's current address and phone number, along with their occupation and the years they have been employed.
- Enter the date when the employee was hired and the date the injury or illness was reported. Include details about the nature of the business, and the registered employer's information.
- In the detail of the injury/illness section, indicate the time of the injury, how the accident occurred, and describe what the employee was doing at the time of injury.
- Fill in the nature of the injury, specifying which part of the body was affected and providing a comprehensive description of the injury. Be detailed to avoid potential follow-up questions.
- Complete the time lost information by indicating if the employee was furnished meals or lodging, including average weekly wages and whether full payment was received for the day of injury.
- If applicable, gather the treating physician's details, including their name and address, along with the name of the medical facility.
- Provide insurance information, including the name of the workers' compensation insurance carrier, policy number, and any liability details.
- Finally, review all the information for accuracy. Once satisfied, you may save changes, download, print, or share the completed form as necessary.
Complete your HI WC-1 form online today to ensure timely reporting and compliance.
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In Hawaii, specific groups may be exempt from workers' comp coverage, including sole proprietors and some partners in a business. Additionally, certain employers may fall under categories that do not require insurance. For clarity on your status, consulting resources like US Legal Forms can provide insights about the HI WC-1 exemptions that may apply to your situation.
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