Delaware Injury Report Form

State:
Multi-State
Control #:
US-1340837BG
Format:
Word; 
Rich Text
Instant download
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Public form

Description

This form is an example of an injury report form that may be used by a Company in order to report injuries on the job.

How to fill out Injury Report Form?

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FAQ

Beginning with the fourth day of incapacity, all compensation otherwise provided by law shall be paid. If the incapacity extends to 7 days or more, including the day of injury, the employee shall receive all compensation otherwise provided by law from the first day of injury.

Delaware Workers' Compensation & Employee Injuries Notify you and request medical attention right away. Provide notice of any disability claim beyond three days after the date of injury. File an application with the Office of Workers' Compensation if there's a disagreement.

Workers' Compensation is a system, created by the Delaware Legislature, which provides benefits to workers who are injured or who contract an occupational disease while working. The benefits include medical care, temporary disability payments and compensation for a resulting permanent impairment.

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.

CA-7 - Claim for Compensation on Account of Traumatic Injury or Occupational Disease. Used for the following purposes: To claim lost wages when continuation of pay expires on a traumatic injury, and to claim wage loss on occupational disease claims.

Division of Workers' Compensation (DWC): A division within the state Department of Industrial Relations (DIR).

Form DWC-7 is a notice to provide injured workers with rights, benefits and contact information.

Division of Workers' Compensation Notice to Employees--Injuries Caused By Work. You may be entitled to workers' compensation benefits if you are injured or become ill because of your job. Workers' compensation covers most work-related physical or mental injuries and illnesses.

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Delaware Injury Report Form