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WCC Form 2 Rev. 10/2012 THE USE OF THIS FORM IS REQUIRED UNDER THE PROVISIONS OF THE ALABAMA WORKMEN'S COMPENSATION LAW STATE OF ALABAMA EMPLOYER'S FIRST REPORT OF INJURY OR OCCUPATIONAL DISEASE 1.

How to fill out alabama froi form

How to fill out the Alabama FROI form:

1. Begin by accurately providing your personal information such as your full name, address, and contact details.
2. Indicate the date of the injury or illness that occurred while at work.
3. Specify the employer's information, including the name, address, and contact details.
4. Describe the incident or injury in detail, including the time and location it occurred, as well as a thorough explanation of what happened.
5. Include any medical treatment you have received for the injury or illness, including details of healthcare providers and the dates of treatment.
6. Provide information about any lost wages or income you have experienced as a result of the injury or illness.
7. Sign and date the form to verify the accuracy of the information provided.

Who needs the Alabama FROI form:

1. Employees who have suffered an injury or illness while at work in Alabama.
2. Employers who are required by law to report these incidents to the appropriate authorities.
3. Insurance carriers and legal representatives involved in processing worker's compensation claims in Alabama.

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What is alabama froi form?

Alabama FROI form stands for First Report of Injury form in Alabama. This form is used to report any work-related injury or illness to the Alabama Department of Labor.

Who is required to file alabama froi form?

Employers or their designated representatives are required to file the Alabama FROI form when an employee experiences a work-related injury or illness.

How to fill out alabama froi form?

To fill out the Alabama FROI form, you need to provide information about the employer, injured employee, details of the injury or illness, and any medical treatment received. The completed form should be submitted to the Alabama Department of Labor.

What is the purpose of alabama froi form?

The purpose of the Alabama FROI form is to ensure that work-related injuries or illnesses are properly reported and documented for the protection of both the employee and the employer.

What information must be reported on alabama froi form?

The Alabama FROI form requires reporting of information such as the employee's personal details, the date and location of the incident, a description of the injury or illness, information about the medical treatment received, and the employer's details.