This form is a case information progress report which details the status of the file.
Minnesota Personal Injury Progress Report
State:
Multi-State
Control #:
US-PI-0233
Format:
Word;
Rich Text
Instant download
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Public form
Description
How to fill out Personal Injury Progress Report?
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FAQ
Employees must notify their supervisor immediately of all job-related injuries. An employee who is injured as a direct result of their job duties must also report the incident by submitting the Accident/Injury Report within 24 hours to the Safety and Security Department and the Office of Human Resources (HR).
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.
Your employer is required to fill out a form, sometimes called a "First Report of Injury," for every injury which occurs in the workplace. Make sure that your employer fills out a form for you. Review the form to make sure that it is accurate, and request that you be provided with a copy for your own records.
ILLINOIS FORM 45: EMPLOYER'S FIRST REPORT OF INJURY.
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's Report of Occupational Injury or Illness (Form 5020). Every employer is required to file a complete report of every occupational injury or illness to each employee which results in lost time beyond the date of injury or illness or which requires medical treatment beyond first aid*.
The first step in finding a QRC is to submit a written notice to the work comp insurer to request a rehabilitation consultation. If you have an accepted workers compensation claim, the Insurer must arrange for a rehabilitation consultation with a QRC within fifteen days after receiving your request.
The employer is responsible for carrying out state and departmental injury prevention policies. In case of injury this responsibility includes initiating action to obtain prompt medical treatment for injured employees.