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WORKERS COMPENSATION COMMISSION 1915 NORTH STILES AVENUE OKLAHOMA CITY, OKLAHOMA 73105 CCFORM93 THIS SPACE FOR COMMISSION USE ONLY Send original and 2 copies to: Workers Compensation Commission In
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How to Fill Out Workers Compensation Commission 1915:

01
Gather all necessary information and documentation. This may include personal details of the injured worker, such as name, address, and social security number, as well as information about the injury, such as its date and location.
02
Start by filling out the top section of the form, which typically includes basic information about the employer and insurance carrier. Make sure to provide accurate and up-to-date details.
03
Move on to the injured worker section, where you will need to provide details about the employee who suffered the injury. This may include their name, job title, date of hire, and job duties.
04
Fill out the section related to the injury itself. This should include a detailed description of what happened, how it occurred, and any contributing factors. Be as specific and thorough as possible.
05
Provide information about any medical treatment received by the injured worker. This may include the names of healthcare providers, dates of treatment, and a summary of the treatments received.
06
If applicable, fill out the section related to lost wages. This may involve providing details about the time missed from work, the rate of pay, and any compensation received during this period.
07
Review the completed form for accuracy and completeness before submitting it to the workers compensation commission or the relevant authority.
08
Be sure to keep a copy of the filled-out form for your records.

Who Needs Workers Compensation Commission 1915?

01
Employers: Employers are required to fill out the workers compensation commission 1915 form when one of their employees has suffered a work-related injury or illness that may qualify for workers compensation benefits.
02
Injured Workers: Any employee who has been injured on the job and may be eligible for workers compensation benefits will need to have the workers compensation commission 1915 form filled out to initiate the claims process.
03
Insurance Carriers: Insurance carriers that provide workers compensation coverage to employers may need to fill out portions of the workers compensation commission 1915 form to provide information about the coverage and facilitate the claims process.
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Workers compensation commission 1915 is a form used to report wages and other information about employees to the workers' compensation board.
Employers are required to file workers compensation commission 1915 for all their employees.
Workers compensation commission 1915 can be filled out online using the official website of the workers' compensation board or by mailing a physical copy of the form to the board.
The purpose of workers compensation commission 1915 is to ensure that employees are compensated for work-related injuries and illnesses.
Information such as employee wages, job duties, hours worked, and any known work-related injuries or illnesses must be reported on workers compensation commission 1915.
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