Pennsylvania Report of Occupational Injury or Illness

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Multi-State
Control #:
US-427EM
Format:
Word; 
Rich Text
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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 following are some of the possible ways you can be disqualified: You fail, without good cause, to accept an offer of suitable work or refuse a referral to a job opportunity. You voluntarily quit a job without good cause. You do not register for employment-search services as required.

Injuries include cases such as, but not limited to, a cut, fracture, sprain, or amputation. Illnesses include both acute and chronic illnesses, such as, but not limited to, a skin disease, respiratory disorder, or poisoning.

In most cases, yes. You can receive unemployment and then become unable to work and obtain disability. Similarly, you can receive disability and then become able to work again and receive unemployment.

Medical Reasons: When you cannot work because of a medical condition (or when working would worsen a medical condition) you may have good cause to quit a job, and could therefore receive unemployment compensation (Deiss v. UCBR, 475 Pa. 547 (1977)).

Immediately report any work-related injury or illness to your employer or supervisor. In Pennsylvania, you have 120 days to let your employer know that you suffered a work injury. You have 3 years from the day you were injured to file a claim petition for an injury.

An injury or illness is considered by the Occupational Safety and Health Administration to be work-related if an event or exposure in the work environment either caused or contributed to the resulting condition or significantly aggravated a pre-existing condition.

Yes, you may receive PA Workers' Compensation benefits and Unemployment Compensation (UC) benefits at the same time. You may be totally disabled from the job you were performing at the time of injury, but able and available for other lighter duty work that your current employer cannot provide.

While each state law is different, to prove that an occupational disease or illness was caused or aggravated by a job, an employee usually has to prove two factors: (1) that the disease was caused by conditions that are characteristic of and specific to a particular occupation and (2) that the disease was not an

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.

If you sustain a job injury or a work-related illness, the Pennsylvania Workers' Compensation Act, or Act, provides for your medical expenses and, in the event you are unable to work, wage-loss compensation benefits until you're able to go back to work.

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Pennsylvania Report of Occupational Injury or Illness