Washington Accident Report For Workers Comp Compliance

State:
Multi-State
Control #:
US-FR-W-1
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PDF
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Detailed accident report for Employer's records and use with Insurance Company for Accidents that fall under the Workers' Compensation laws.
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FAQ

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.

DEFINITION OF INJURY ON DUTY /OCCUPATIONAL DISEASE (IOD /OD) An unexpected occurrence, at a specific date, time and place and arising out of and in the course of the employee's employment, resulting in personal injury or death, or when an occupational disease is contracted due to exposure at the workplace.

L&I or your self-insured employer must receive your Report of Accident within 1 year of your injury date to file a claim. We must receive it within two years from the date of your doctor's diagnosis for occupational disease claims.

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

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.

The Department of Labor and Industries (L&I) is the Washington State agency that administers these benefits. Consequently, it's L&I's job to determine the benefits to provide in every workers' compensation claim.

Yes, as mentioned above, most states require employers to report all employee injuries and potential workers' compensation claims. Failure to do so can often result in fines as a penalty for failure to report claims.

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.

Some states however prohibit the sale of workers compensation by private insurers and, instead, require employers to purchase coverage from a government-operated fund. North Dakota, Ohio, Wyoming, and Washington are the four states with this specific requirement and are referred to as monopolistic states.

The time limit associated with work-related personal injury claims is 3 years from the date of when the incident occurred. Although, three years seems a long time, many work-related claims can be complicated and long-drawn out processes.

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Washington Accident Report For Workers Comp Compliance