New Mexico Injury Absence Report

State:
Multi-State
Control #:
US-AHI-276
Format:
Word; 
Rich Text
Instant download
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Public form

Description

This AHI form is used to document an absence due to work-related injury. The form also includes the number of hours lost due to the injury. This form must be submitted prior to the close each pay period.

How to fill out Injury Absence Report?

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FAQ

NB: A report must be received within 10 days of the incident. For accidents resulting in the over-seven-day incapacitation of a worker, you must notify the enforcing authority within 15 days of the incident, using the appropriate online form.

If you're injured on the job and can't work, you should be able to file for workers' compensation benefits. A successful claim will replace two-thirds of your wages plus pay for medical care and rehabilitation. If you lost the use of a part of your body, you might get payment, depending on which body part is injured.

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

Notify Your Employer Right Away No matter how minor the injury may appear, report the incident and injury immediately. Always notify your employer or supervisornot a co-worker. You may not need to give an injury notice in writing, but is always good to file a written notice and make copies for claim purposes.

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Disability is an illness or injury, either physical or mental, which prevents you from performing your regular and customary work. Disability also includes elective surgery, pregnancy, childbirth, or other related medical conditions.

The employer must report a workplace injury within 7 days or within 14 days of finding out that you have an occupational disease. You should check that all the details on the form are correct.

Timing is important. You will start the Pennsylvania workers' compensation process by reporting your injury or work-related illness to your employer. In Pennsylvania, you must do this within 120 days of sustaining your injury or falling ill. If you wait longer, you may lose the right to seek workers' comp benefits.

Your employer is legally responsible for reporting your injury on duty to the Compensation Fund within seven (7) days of receiving notice from you and within fourteen (14) days when it is an occupational disease as well as submitting the necessary forms and documents.

When do I need to report an injury? You must report an injury to your insurer as soon as possible (but no more than eight business days) after becoming aware of the injury. It is an offence not to report the injury within this timeframe unless you have a reasonable excuse.

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New Mexico Injury Absence Report