Wisconsin Report of Claimed Occupational Injury or Illness

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Multi-State
Control #:
US-AHI-279
Format:
Word; 
Rich Text
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Description

This AHI form is a report that documents an injury or illness claim filed by an employee.

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FAQ

The CA-7 must be filed within one year of the dates claimed, or the date your claim is accepted, whichever is later.

All employers are required to notify OSHA when an employee is killed on the job or suffers a work-related hospitalization, amputation, or loss of an eye. A fatality must be reported within 8 hours. An in-patient hospitalization, amputation, or eye loss must be reported within 24 hours.

The Employer's First Report of Injury or Disease must be electronically filed with the Worker's Compensation Division within 14 days after the injury. The Supplementary Report on Accidents and Industrial Diseases must be electronically filed with the Worker's Compensation Division by the 30th day after the injury.

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

WKC-12-E, Employer's First Report of Injury or Disease.

What time limits are important in reporting an injury? Your should report any injury right away. You have 30 days to give notice, but you can normally still get benefits if you notify your employer within two years of the injury. There is generally no time limit for lung, occupational back, or hearing loss claims.

Reporting a workplace injury is your right. If you are unsure about your injury, report it. The sooner we receive your information, the faster we can process your benefits and provide you with the support you need.

Most Workers' Comp Cases Settle Before Going to Hearing Rather, most cases end with a compromise agreement or settlement. This means the injured worker and the employer and/or workers' compensation insurance carrier come to an agreement about the resolution of the claim.

OSHA requires employers to post a citation near the site of the violation for 3 days for employers who receive citations for violations.

Employers must report work-related fatalities within 8 hours of finding out about it. For any in-patient hospitalization, amputation, or eye loss employers must report the incident within 24 hours of learning about it. Only fatalities occurring within 30 days of the work-related incident must be reported to OSHA.

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Wisconsin Report of Claimed Occupational Injury or Illness