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Georgia Report of Injury by Employee to Employer to be Filed with Worker's Compensation Agency of State

Category:
Workers Compensation - Injury Reports
State:
Multi-State
Control #:
US-01494BG
Format:
Word; 
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Description

Workers' compensation laws are designed to ensure payment by employers for
some part of the cost of injuries, or in some cases of occupational diseases, received by employees in the course of their work. Worker's compensation legislation requires the employer to furnish a reasonably safe place to work, suitable equipment, rules and instructions. State workers' compensation statutes vary by state. The Federal Employment Compensation Act covers non-military federal employees or those workers employed in some significant aspect of interstate commerce.


The compensation acts require that notice of the fact of injury be given to the employer, or to the compensation board or commission, or to the insurance carrier, or to all of them. This form is a generic example that may be referred to when preparing such a form for your particular state. It is for illustrative purposes only. Local laws should be consulted to determine any specific requirements for such a form in a particular jurisdiction.

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How to fill out Report Of Injury By Employee To Employer To Be Filed With Worker's Compensation Agency Of State?

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FAQ

With a workers' compensation claim, the process of filing the initial claim is relatively simple. We file a form called the WC-14, which is essentially a notice of claim (it also can serve as a request for a hearing) that we file with the State Board of Workers' Compensation.

Regardless of the category of the medical condition, your first concern will be to determine if your employee needs immediate medical care. If immediate care is required, assist in making arrangements for your employee to go to the nearest health care facility or to their private health care provider.

You must file a claim to protect your rights within one year from the date of your accident. This is accomplished by filing Form WC-14 with the State Board of Workers' Compensation. HOW DO I FILE A CLAIM?

Employer responsibilities in Georgia Individual claim attention. Prompt and courteous reporting. Full information disclosure on income and medical benefits. Significant effort to return the employee to their designated position.

Medical care must be paid for by your employer if you get hurt on the job ? whether or not you miss time from work. You may be eligible to receive benefits even if you are a temporary or part-time worker. You don't have to be a legal resident of the United States to receive most workers' compensation benefits.

Under the Workers Compensation system, who is responsible for the expenses resulting from work-related injuries and occupational diseases? The employer, regardless of whether it was at fault for the injury or disease.

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.

The employer is required to file an Employer's First Report of Injury or Illness [DWC FORM-001 Rev. 10/05] with the injured worker's insurance carrier, and the injured claimant or the claimant's representative within 8 days after the employee's absence from work or receipt of notice of occupational disease.

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