Get Ok Cc-form-2 2016-2025

Completing the OK CC-Form-2 is an essential step in reporting workplace injuries or fatalities. This guide provides clear, step-by-step instructions to assist users in filling out the form accurately and efficiently online.

Follow the steps to complete the OK CC-Form-2 online.

1. Click the ‘Get Form’ button to access the OK CC-Form-2 and open it in your preferred editor.
2. In the first section, enter the full name of the employee including last, first, and middle names. Make sure all information is accurate.
3. Provide the employee's email address to facilitate communication regarding the claim.
4. Fill in the complete address, including city, state, zip code, and telephone number of the employee.
5. Enter the last four digits of the employee’s social security number.
6. Input the employee's date of birth in the MM/DD/YY format.
7. Specify the employee's sex by selecting the appropriate option.
8. Indicate the length of employment by filling in the number of years and months.
9. Provide the date of hire in the MM/DD/YY format.
10. State the average weekly wage and the employee’s occupation or job description.
11. Indicate whether the employment agreement was made in Oklahoma by selecting 'Yes' or 'No'.
12. Input the date and time of the accident or last exposure in the respective fields.
13. Provide the last date the employee worked.
14. State the date the employer was notified of the injury.
15. If applicable, provide the OSHA log case number and indicate if it is a cumulative trauma issue.
16. Specify if the employee died due to the accident and provide the date of death if applicable.
17. Fill in the place of the accident or occurrence including the city and county.
18. Describe the nature of the injury or illness and detail the activities during which the injury occurred.
19. Identify any parts of the body involved in the injury or illness.
20. Complete the treating physician's full name and address.
21. Enter details about the employer’s insurance carrier, policy number, and policy period.
22. Finalize by adding the employer’s complete name, address, and federal ID number.
23. In the signature section, ensure that the preparer signs and prints their name and title.
24. Once all sections are completed, save your changes, and choose to download, print, or share the form as needed.

Complete the OK CC-Form-2 online today to ensure timely processing of your workers' compensation claim.