Recommended
Procedure for Worker's
Compensation Injuries
The
Employer's First Report of Injury or Fatality (Form 101) must be filed within seven (7) calendar days, not including
Sunday and legal
holidays, or receipt of notice of any injury alleged to have risen
out of and in the course of employment which incapacitates an employee
from earning full wages for a period of five (5) or more calendar
days.
You must file a report:
- for an injury which requires
medical
expenses to be paid.
- if the employee
suffers job related damage to eye glasses or a prosthetic
devise.
- if the employee dies as
a result
of a job related injury
- if the employee dies at
the work site, regardless of the reason
for death.
- for mental injury resulting from work-related stress
(if either medical treatment or lost wages
are incurred).
The employer should retain a
copy of the
First
Report.
Three Claim
Categories
- Reporting Only
There is an incident, no medical treatment given, no lost time from work.
- Medical Only
There is an incident, medical treatment was given, no lost time from work
or does not qualify for lost time benefits.
- Lost Time
There is an incident, medical treatment is given, the employee is disabled
for 5 or more calendar days.
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