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EMPLOYERS FIRST REPORT OF INJURY OR ILLNESS Form 122 (Filing this form is not an admission of liability for the claim.) Employer (Name & Address Include Zip) G E N E R A L C A R R I E R W A G E OSHA

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What is first report of injury?

The first report of injury is a document that must be completed when an employee is injured on the job.

Who is required to file first report of injury?

Employers are required to file the first report of injury when an employee is injured on the job.

How to fill out first report of injury?

The first report of injury should be filled out with details of the employee's injury, the circumstances surrounding the injury, and any medical treatment provided.

What is the purpose of first report of injury?

The purpose of the first report of injury is to document workplace injuries and ensure that employees receive the necessary medical treatment and workers' compensation benefits.

What information must be reported on first report of injury?

Information that must be reported on the first report of injury includes details of the employee's injury, the date and time of the injury, and any medical treatment provided.

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