Delaware Occupational Injury Illness Report

State:
Multi-State
Control #:
US-AHI-275
Format:
Word; 
Rich Text
Instant download
This website is not affiliated with any governmental entity
Public form

Description

This AHI form is used to document an incident of injury or illness that is work-related. The form is to be completed by the employee involved in the incident.

How to fill out Occupational Injury Illness Report?

If you require comprehensive, retrieve, or create legal document templates, utilize US Legal Forms, the largest selection of legal documents available online.

Employ the website's user-friendly search feature to locate the documents you need.

Various templates for businesses and individual purposes are organized into categories and offers, or keywords.

Step 3. If you are not satisfied with the form, utilize the Search field at the top of the screen to find different versions of the legal document template.

Step 4. Once you have found the form you need, click the Acquire now button. Select the pricing plan you prefer and provide your information to register for an account.

  1. Utilize US Legal Forms to find the Delaware Occupational Injury Illness Report in just a few clicks.
  2. If you are currently a US Legal Forms user, Log In to your account and click on the Obtain button to access the Delaware Occupational Injury Illness Report.
  3. You can also find forms you previously downloaded under the My documents section of your account.
  4. If you are using US Legal Forms for the first time, follow the steps below.
  5. Step 1. Verify that you have selected the form for the appropriate state/country.
  6. Step 2. Use the Review option to go over the form's content. Remember to read through the summary.

Form popularity

FAQ

This benefit is 2154 of the difference between the employee's pre-injury wage and the current wage and is payable for a maximum of 300 weeks. Permanent Impairment Benefits are payable when an employee suffers a permanent partial disability as a result of a job-related injury or illness.

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

Workers' compensation benefits are broadIf an employee is completely out of work, the benefit is 662154% of the employee's gross weekly wages. If an employee is receiving reduced wages, the benefit is 2154 of the difference between the employee's pre-injury wage and post-injury wage.

How to report your injury on duty to the Compensation FundReport your injury or disease immediately to your employer or supervisor.When you go to hospital or the doctor of your own choice, you should take the duly completed, signed and dated, Employers Report of an Accident form (W.More items...?

In Delaware, temporary total disability is 662154% of the employee's gross weekly wages at the time of the injury, up to a maximum set by the state. Effective July 1, 2020, the weekly maximum in Delaware is $747.66.

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

Workers' compensation provides medical expenses, lost wages, and rehabilitation costs to employees who are injured or become ill in the course and scope of their job. It also pays death benefits to families of employees who are killed on the job.

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.

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.

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

Trusted and secure by over 3 million people of the world’s leading companies

Delaware Occupational Injury Illness Report