Washington Notification of Workers' Compensation Injury - Illness

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Multi-State
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US-294EM
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Word; 
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Description

This form is used to inform a worker's compensation firm of an injury or illness of sustained by an employee while on duty.

How to fill out Notification Of Workers' Compensation Injury - Illness?

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FAQ

You cannot take sick leave while in receipt of weekly compensation payments. Do I accrue leave while on workers' compensation? WorkCover WA is unable to provide advice regarding accrual of annual leave, long service leave or sick leave while in receipt of workers' compensation payments.

Workers' compensation insurance protects your business from financial costs when a worker sustains a work-related injury or disease. It also protects injured workers by providing weekly payments to cover loss of earning capacity, payment of reasonable medical and rehabilitation expenses, and other entitlements.

Am I entitled to my full wage if I'm injured in a work accident? Sadly, there is no obligation on any employer to pay a staff member their full standard salary if they are off work due to illness or injury even if that injury or illness was caused by an accident at work, or materials used at work.

How does workers' comp work in Washington? Workers' compensation benefits can cover medical and hospital expenses resulting from a workplace injury. It can also cover partial wage replacement if the employee is unable to work, or is delegated to light duty because of an impairment.

If you have been injured at work, it's your right to report it. Tell your employer the details about your injury. Your employer will notify WCB about your injury if the treatment required is anything beyond first aid or if you missed time from work.

Employers purchase coverage through the Department of Labor & Industries (L&I). L&I manages all claims and pays benefits out of an insurance pool called the Washington State Fund. The fund is financed by premiums paid by employers and employees, not by general revenue taxes.

Injuries must be reported within one year. Diseases must be reported within two years after receiving written notice from a doctor that the condition exists and is workrelated. In Washington, you must also file a claim for industrial insurance benefits.

Get first aid at your workplace; all employers in Washington are required to provide a first-aid kit. If further treatment is necessary, go to the emergency room or health2011care provider of your choice and tell them you were injured at work.

If it's an emergency, call 911 or go to an emergency room right away. Tell the medical staff that your injury or illness is job-related. If you can safely do so, contact your employer for further instructions. If you don't need emergency treatment, make sure you get first aid and see a doctor if necessary.

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Washington Notification of Workers' Compensation Injury - Illness