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Form WC 88 12 00 H Printed in U.S.A. TWIN CITY FIRE INSURANCE COMPANY. 4245 MERIDIAN PARKWAY AURORA IL 60504. 800-327-3636. 02/ 26/2016.
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How to Fill Out Workers' Compensation - Granite:

01
Begin by gathering all necessary information, including the injured worker's personal details, such as name, address, and social security number.
02
Identify the date and time of the accident or injury and provide a detailed description of what happened.
03
Record any witnesses present at the time of the incident and gather their contact information.
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Provide details about the injured worker's job role and responsibilities, including the start date and any relevant work history.
05
Document any medical treatment received by the worker, including the healthcare provider's name, address, and contact information.
06
Describe the nature of the injury or illness and the body part affected. Include any specific medical diagnosis or prognosis if available.
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Outline any medical expenses incurred as a result of the worker's injury, such as doctor visits, medications, or surgeries.
08
Indicate if the worker has missed any time from work due to the injury, including the dates and duration of absence.
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If applicable, provide information about any wage loss benefits or disability benefits that have been provided to the worker.
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Review the completed form for accuracy and ensure that all necessary sections have been filled out.

Who Needs Workers' Compensation - Granite:

01
Employees in the granite industry who suffer work-related injuries or illnesses may require workers' compensation.
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Employers in the granite industry are legally required to provide workers' compensation coverage for their employees.
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Individuals who work with granite, such as stonecutters, fabricators, installers, and polishers, can benefit from workers' compensation if they get injured on the job.
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Workers' compensation can also extend to those involved in the transportation of granite, such as truck drivers or delivery personnel.
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Contractors, subcontractors, and temporary workers in the granite industry may also be eligible for workers' compensation.
Note: Please note that specific requirements for workers' compensation may vary depending on the jurisdiction and local regulations.
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Workers' compensation - granite is a type of insurance that provides medical benefits and wage replacement to employees who are injured or become ill at work.
Employers are required to file workers' compensation - granite for their employees.
To fill out workers' compensation - granite, employers need to gather information about the injured employee, the injury or illness, and any treatment received.
The purpose of workers' compensation - granite is to protect employees who are injured at work by providing them with benefits and preventing them from having to sue their employer.
The information that must be reported on workers' compensation - granite includes the date and time of the injury, the location where it occurred, and any witnesses.
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