District of Columbia Report of Occupational Injury or Illness

State:
Multi-State
Control #:
US-427EM
Format:
Word; 
Rich Text
Instant download
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Description

This form is used to document information concerning an injury or illness suffered by an employee on company property.

How to fill out Report Of Occupational Injury Or Illness?

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FAQ

The most common injury claim filed under Workers Compensation typically involves sprains and strains, particularly in the back and upper extremities. Injuries like these often arise from lifting, carrying, or repetitive motions in physically demanding jobs. When filing a claim, it is essential to complete a District of Columbia Report of Occupational Injury or Illness accurately, as this documentation supports your case and helps ensure you receive the appropriate benefits.

The CA-7 must be filed within one year of the dates claimed, or the date your claim is accepted, whichever is later.

The employer must report a workplace injury within 7 days or within 14 days of finding out that you have an occupational disease.

How to File a ClaimReport job-related injury or illness promptly to the employer.Report job-related injury or illness in writing to the Office of Workers' Compensation within 30 days of occurrence or awareness.Complete the DCWC Form 7.More items...

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.

How does workers' comp work in Washington, D.C.? When a worker is injured on the job or develops an occupational disease, workers' comp provides medical benefits and wage loss benefits. While the employee is unable to work, they receive compensation for lost wages equal to two-thirds of their average weekly wage.

How to File a ClaimReport job-related injury or illness promptly to the employer.Report job-related injury or illness in writing to the Office of Workers' Compensation within 30 days of occurrence or awareness.Complete the DCWC Form 7.More items...

Are employers required to have workers' compensation insurance in DC? Yes, if an employer has one (1) or more employees, the employer is required to have workers' compensation insurance coverage. An employer is also entitled to apply for self-insurance, but must be approved by this office. 7.

Employers must report work-related fatalities within 8 hours of finding out about it. For any in-patient hospitalization, amputation, or eye loss employers must report the incident within 24 hours of learning about it. Only fatalities occurring within 30 days of the work-related incident must be reported to OSHA.

OSHA requires employers to post a citation near the site of the violation for 3 days for employers who receive citations for violations.

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District of Columbia Report of Occupational Injury or Illness