The Arizona Workers' and Physicians' Report of Injury (WEI) is a form used by Arizona employers to report workplace injuries to the Arizona Industrial Commission. The form includes information about the employee, the employer, the date of the injury, the type of injury, the medical treatments received, and the results of the investigation into the cause of the injury. The form is used by employers to collect information required by the Arizona Industrial Commission for the administration of workers' compensation claims. The WEI is divided into two sections: the employer section and the physician section. The employer section of the WEI requires the employer to provide information such as the date of the injury, the type of injury, the date of the first medical visit, the date of the last medical visit, and the name and address of the insurance carrier. The employer must also provide information regarding the employee's medical treatments, the results of the investigation into the cause of the injury, and the employee's wage information. The physician section of the WEI requires the physician to provide information such as the diagnosis and prognosis of the injury, the medical treatment prescribed, any work restrictions imposed on the employee, and the date of the last medical visit. The physician must also provide information regarding the employee's medical history, any pre-existing medical conditions, and any other relevant information. The Arizona Workers' and Physicians' Report of Injury is required for all workplace injuries in Arizona. There are two different types of WEI: the Standard WEI and the Complex WEI. The Standard WEI is used for less serious injuries, while the Complex WEI is used for more serious injuries.
Arizona Workers's and Physician's Report of Injury
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How to fill out Arizona Workers's And Physician's Report Of Injury?
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FAQ
Arizona's workers' compensation statute of limitations requires an injured worker to report his or her work-related injury within 1 year from the date of injury. If the worker doesn't file a claim before the 1 year deadline, he or she may forfeit their right to receive compensation.
Arizona law prohibits employers from firing an injured employee strictly because they filed a workers' compensation claim, and your employer cannot prevent you from filing a claim by firing you. However, injured status doesn't protect your job, even if your employer is at fault for your injury.
Make sure your supervisor is notified of your injury as soon as possible. If your injury or illness developed gradually, report it as soon as you learn or believe it was caused by your job. Reporting promptly helps avoid problems and delays in receiving benefits, including medical care.
Form 102 is required by the Industrial Commission of Arizona for a Physician's Initial Report of Injury. The report must be made using or by attaching a report to the form.
If it's an emergency, you should call 911 right away. After the injury, your employee can file a claim with your workers' compensation insurance, also known as workers' comp, to help get important benefits, like medical treatment coverage. There are different state laws for this coverage depending on where you live.
After an injury or illness occurs, your employer must: Provide a workers' compensation claim form to you within one working day a work-related injury or illness is reported. Return a completed copy of the claim form to you within one working day of receipt.
All employers are required to notify OSHA when an employee is killed on the job or suffers a work-related hospitalization, amputation, or loss of an eye. A fatality must be reported within 8 hours. An in-patient hospitalization, amputation, or eye loss must be reported within 24 hours.
When an incident is reported quickly it allows the injured worker the opportunity to receive quick and proper treatment that may be needed. Sometimes an employee may believe they have a ?minor? injury and decide not to report it or get the injury evaluated which may cause it to become worse.