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Get the free Workers Compensation Employee Accident Statement Form - northwestern

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Office of Risk Management Northwestern University 2020 Ridge Avenue Suite 240 Evanston, Illinois 602084335 Reynold J. Andre Claims Manager Phone: (847) 4915582 Fax: (847) 4677475 Email: Andre northwestern.edu
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Workers compensation employee accident refers to injuries or illnesses that occur to an employee while on the job, which are covered by the employer's workers' compensation insurance.
Employers are required to file workers compensation employee accident claims on behalf of their employees who have been injured or become ill while performing work-related duties.
To fill out a workers compensation employee accident claim, the employer must gather necessary information such as the employee's personal details, the nature of the injury or illness, and the circumstances surrounding the incident. This information is then used to complete the appropriate workers compensation forms.
The purpose of workers compensation employee accident is to provide financial support and medical benefits to employees who are injured or become ill as a result of their work, without the need for legal action.
Information that must be reported on a workers compensation employee accident includes the date, time, and location of the incident, the nature of the injury or illness, any medical treatment received, and witness statements.
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