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Missouri Report Your Workplace Injury/Occupational Disease or Repetitive Trauma Injury

State:
Missouri
Control #:
MO-SKU-2421
Format:
PDF
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Description

Report Your Workplace Injury/Occupational Disease or Repetitive Trauma Injury The Missouri Report Your Workplace Injury/Occupational Disease or Repetitive Trauma Injury form is required to be completed and filed with the Missouri Division of Workers’ Compensation for any workplace injuries or illnesses sustained by employees. The form is used to document and report the injury or illness and to provide necessary information to the Division of Workers’ Compensation. The form must be completed by the employer and must include the employee’s name, address, date of injury, type of injury, and the name of the physician or other healthcare professional providing treatment. It must also include details about the employer’s safety program, the injury, the employee’s job description, and any safety measures implemented after the injury occurred. There are three types of Missouri Report Your Workplace Injury/Occupational Disease or Repetitive Trauma Injury forms: First Report of Injury or Occupational Disease, Follow-up Report of Injury or Occupational Disease, and Report of Repetitive Trauma Injury. The First Report of Injury or Occupational Disease is used to report the initial injury or illness, while the Follow-up Report of Injury or Occupational Disease is used to report any changes in the employee’s condition or treatment. The Report of Repetitive Trauma Injury is used to report any repetitive trauma injuries that occurred over a period of time.

The Missouri Report Your Workplace Injury/Occupational Disease or Repetitive Trauma Injury form is required to be completed and filed with the Missouri Division of Workers’ Compensation for any workplace injuries or illnesses sustained by employees. The form is used to document and report the injury or illness and to provide necessary information to the Division of Workers’ Compensation. The form must be completed by the employer and must include the employee’s name, address, date of injury, type of injury, and the name of the physician or other healthcare professional providing treatment. It must also include details about the employer’s safety program, the injury, the employee’s job description, and any safety measures implemented after the injury occurred. There are three types of Missouri Report Your Workplace Injury/Occupational Disease or Repetitive Trauma Injury forms: First Report of Injury or Occupational Disease, Follow-up Report of Injury or Occupational Disease, and Report of Repetitive Trauma Injury. The First Report of Injury or Occupational Disease is used to report the initial injury or illness, while the Follow-up Report of Injury or Occupational Disease is used to report any changes in the employee’s condition or treatment. The Report of Repetitive Trauma Injury is used to report any repetitive trauma injuries that occurred over a period of time.

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Missouri Report Your Workplace Injury/Occupational Disease or Repetitive Trauma Injury