Workers Compensation Form For Employers

State:
Multi-State
Control #:
US-04076BG
Format:
Word; 
Rich Text
Instant download

Description

Workers' Compensation Laws are laws passed by state legislatures that compensate employees for work-related injuries or illnesses. Any employee injured on the job within the scope of his employment is entitled to workers' compensation benefits. This is true even if the employee was injured because of his own negligence or for failure to follow the instructions of his employer. Self inflicted injuries are not covered. Benefits include medical expenses, lost wages, and death benefits. Most employers have insurance to cover these benefits. If they don't have insurance, they still have to pay benefits.

How to fill out Checklists - Worker's Compensation Claims?

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FAQ

If a person working for you has a work-related injury or disease and gets medical treatment from a doctor or other qualified practitioner, as the employer, you must report the incident to us. We need to hear from you as soon as possible.

Employer's Report of Injury/Disease (Form 7) When your employer finds out about your injury, they must file a Form 7 with the Board within 3 business days. The information your employer puts on this form is important because it affects the amount of money you might get in benefits.

To be considered valid, a completed Form 7 must be authorized by the employer or a representative of the employer (e.g., a bookkeeper, safety representative, or an accountant). Sole proprietors and independent operators who have obtained optional insurance may authorize a report of their own accident.

In those instances, employees must complete Form 67 ? Workplace Health, Safety and Compensation ? Report of Accident or Industrial Disease. Contact Information. Name of person(s) involved in the accident.

Generally, registration is mandatory if you are an employer: Conducting business in a mandatory industry (e.g., hotels, restaurants, supermarkets, fishing, trucking, construction and other manufacturing.) and you have three or more workers at one time.

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Workers Compensation Form For Employers