Iowa Report of Occupational Injury or Illness

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Multi-State
Control #:
US-427EM
Format:
Word; 
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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 CA-7 must be filed within one year of the dates claimed, or the date your claim is accepted, whichever is later.

Generally, occupational injuries occur instantly and are the result of a single traumatic event that causes physical harm, while occupational illnesses occur over time and are the result of long-term, continuous exposure to a harmful work environment.

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.

Step 1: The employee must report the disablement, in writing, to his/her employer as soon as possible or within 12 months from the date the disability occurred. Step 2: The employer must report work-related injury to the Fund within 7 days, or the work-related disease to the fund within 14 days.

Your employees have 90 days to notify you of an injury or illness. You or your insurance company will then have to electronically file a First Report of Injury or Illness report within four days. Once a claim is filed, your injured or sick employee can receive benefits.

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

Reporting a workplace injury is your right. If you are unsure about your injury, report it. The sooner we receive your information, the faster we can process your benefits and provide you with the support you need.

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

In general, the statute of limitations to file your Iowa Workers' Compensation claim is 2 years from the date of your injury. This means you must either have started receiving benefits or have filed an application for arbitration within this time frame.

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Iowa Report of Occupational Injury or Illness