Puerto Rico Report of Injury by Employee to Employer to be Filed with Worker's Compensation Agency of State

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US-01494BG
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Description

Workers' compensation laws are designed to ensure payment by employers for
some part of the cost of injuries, or in some cases of occupational diseases, received by employees in the course of their work. Worker's compensation legislation requires the employer to furnish a reasonably safe place to work, suitable equipment, rules and instructions. State workers' compensation statutes vary by state. The Federal Employment Compensation Act covers non-military federal employees or those workers employed in some significant aspect of interstate commerce.


The compensation acts require that notice of the fact of injury be given to the employer, or to the compensation board or commission, or to the insurance carrier, or to all of them. This form is a generic example that may be referred to when preparing such a form for your particular state. It is for illustrative purposes only. Local laws should be consulted to determine any specific requirements for such a form in a particular jurisdiction.

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FAQ

In Puerto Rico, workers' compensation is compulsory, and no waivers are permitted. There is an exclusive state fund.

Which situation qualifies an employee for workers' compensation coverage? Employees may be eligible for workers' compensation if they suffer an accident or injury while working. Illnesses that occur as a result of exposure in the work environment may also be covered by the employer's policy.

Use DWC services You can contact the Information and Assistance Unit if you have questions or call the DWC Information Services Center at 1-800-736-7401 to speak to a live representative.

Key Takeaways. The monopolistic states are Wyoming, Washington, Ohio, and North Dakota. All four monopolistic states bar the sale of workers compensation insurance by private insurers. In these states, employers must buy insurance from a state-run insurance fund.

MONOPOLISTIC STATE FUNDS The following states/jurisdictions are monopolistic fund states: North Dakota, Ohio, Washington, Wyoming, Puerto Rico, and the U.S. Virgin Islands.

All employers on the island must provide Puerto Rico workers' compensation coverage for their employees. Federal employees, however, must file Puerto Rico workers' compensation claims through the U.S. government.

The official form that needs to be completed is W.Cl 2 ? Notice of Accident and Claim for Compensation. This form should be completed whenever an employee meets with an accident out of or in course of employment that leads to personal injury or where medical treatment is required or in the case of death.

Act No. 45 of April 18, 1935, known as the Puerto Rico Compensation System for Work-Related Accidents Act (Act 45), establishes that every employer must secure compulsory insurance to cover their employees' work-related accidents or illnesses.

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Puerto Rico Report of Injury by Employee to Employer to be Filed with Worker's Compensation Agency of State