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DWC-FORM-001 (Rev. 10/05) Page 2 WC7631g (10-05) INSTRUCTIONS FOR EMPLOYERS FIRST REPORT OF INJURY OR ILLNESS (DWC FORM-001) Type (or print in black ink) each item on ...

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What is carrier's claim employers?

Carrier's claim employers is a report filed by an employer to their insurance carrier when an employee is injured on the job.

Who is required to file carrier's claim employers?

Employers are required to file carrier's claim employers when an employee is injured on the job and a workers' compensation claim needs to be submitted to the insurance carrier.

How to fill out carrier's claim employers?

To fill out carrier's claim employers, employers must provide information about the injured employee, the nature of the injury, and the circumstances surrounding the incident.

What is the purpose of carrier's claim employers?

The purpose of carrier's claim employers is to report workplace injuries to the insurance carrier so that the injured employee can receive benefits under workers' compensation.

What information must be reported on carrier's claim employers?

Information such as the injured employee's name, date of birth, date of injury, description of the injury, and details of the incident must be reported on carrier's claim employers.

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