Alaska EDI Crosswalk, Employee Report of Occupational Injury or Illness to Employer

State:
Alaska
Control #:
AK-6100-WC-1
Format:
Word
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EDI Crosswalk, Employee Report of Occupational Injury or Illness to Employer

Alaska EDI Crosswalk, Employee Report of Occupational Injury or Illness to Employer is an electronic document exchange (EDI) system designed to make it easier for employers to report workplace injuries or illnesses to the Alaska Department of Labor and Workforce Development. The EDI system is a secure, web-based application that allows employers to quickly and accurately submit injury and illness reports in an electronic format. There are two types of Alaska EDI Crosswalk, Employee Report of Occupational Injury or Illness to Employer: the initial report and the follow-up report. The initial report is used to provide the employer's initial information about the injury or illness as soon as possible after it occurs. The follow-up report is used to provide additional information about the injury or illness after the initial report has been submitted. Both reports require the employer to provide information such as the employee's name and contact information, the date of the injury or illness, a description of the injury or illness, and any medical treatment received.

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Complete Section A of this form immediately upon your knowledge of an injury and send the WC-1 to your insurance company or self-insurer claims office. (Note: the DN Numbers represent a crosswalk to the IAIABC Claims Release 3 EDI data elements.).EDI GUIDE for Completing and Filing an Electronic Copy of: EMPLOYER'S FIRST REPORT OF INJURY OR ILLNESS (FROI) AND NOTICE OF BENEFIT. Please complete in triplicate (type if possible) Mail two copies to: OSHA CASE NO. FATALITY. 2009 Crosswalk DWC-4 to EDI R3. 1.

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Alaska EDI Crosswalk, Employee Report of Occupational Injury or Illness to Employer