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On the form, you will need to only fill out the ?Employee? section, which asks for basic information: Name, date, and address. Date and location of injury. Brief description of injury. List of injured body parts. Social Security Number.
DWC-1, also known as a DWC-1 form, stands for Division of Workers' Compensation. Within one working day after becoming aware of a work-related accident or occupational sickness, you must complete this form and send it to your employer.
A DWC 1 is the form that is filled out to report an injury to your employer, and officially initiate a workers' compensation claim. DWC stands for Division of Workers' Compensation, this is the government agency that monitors workers' compensation claims and law.
Form DWC-7 is a notice to provide injured workers with rights, benefits and contact information. DOWNLOAD DWC-7 FORM.
Return the claim form to your employer in person or by mail. If you mail the claim form, use certified mail ? return receipt requested ? so you have a record of the date it was mailed and the date it was received. If you don't return the completed form to your employer you may risk your right to benefits.