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Employee ID FIRST REPORT OF INJURY OR ILLNESS RECEIVED BY CLAIMS-HANDLING ENTITY SENT TO DIVISION DATE DIVISION RECEIVED DATE FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION

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What is first report of injury?

The first report of injury is a document that records details about an employee's work-related injury or illness.

Who is required to file first report of injury?

The employer is typically responsible for filing the first report of injury.

How to fill out first report of injury?

To fill out the first report of injury, you need to gather information about the employee, the nature of the injury, and the circumstances surrounding it. Then, you can use the provided form or the online reporting system to enter the required information.

What is the purpose of first report of injury?

The purpose of the first report of injury is to document and track work-related injuries or illnesses. It helps employers, insurance providers, and regulatory agencies to monitor workplace safety, provide appropriate medical care, and determine benefit eligibility.

What information must be reported on first report of injury?

The first report of injury typically requires information about the employee (name, employment details), the injury (description, body part affected), the event (date, time, location), and witness information, if available.

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