Get the free DWC FORM-001 (Employer 's First Report of Injury or Illness)

Section 409.005, Texas Workers Compensation Act, requires an Employer's First Report of Injury or Illness (DWC FORM-001 Rev. 10/05 to be filed with the Workers ...

How to fill out dwc form-001 employer s

How to fill out DWC form-001 Employer's:

1. Begin by accessing the DWC website or contacting your local Workers' Compensation Board to obtain a copy of the form.
2. Review the instructions provided with the form thoroughly before proceeding with filling it out. This will ensure you understand all the necessary information and requirements.
3. Start by entering your company's information at the top of the form, including the name, address, and contact details.
4. Provide the injured employee's information, such as their name, address, and social security number.
5. Indicate the date of the injury or illness and the time it occurred if applicable. If the injury occurred over a period of time, provide the start and end dates.
6. Describe the injury or illness in detail, including the body part affected and the primary cause of the injury.
7. Specify whether the employee was provided with medical treatment and if they missed any workdays due to the injury or illness. If they missed work, note the dates.
8. Include information about the employee's job position, wages, and any previous injuries or illnesses they might have had.
9. If any witnesses were present at the time of the incident, include their names and contact details.
10. Sign and date the form, indicating that the information provided is accurate and complete.
11. Keep a copy of the completed DWC form-001 Employer's for your records.

Who needs DWC form-001 Employer's:

1. Employers who have employees that have been injured or have contracted an occupational illness while on the job.
2. Businesses required to provide workers' compensation coverage as mandated by state or federal laws.
3. Companies seeking to report and document workplace injuries or illnesses to comply with workers' compensation regulations and insurance requirements.

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What is dwc form-001 employer s?

DWC Form-001 Employer's Report of Injury or Occupational Disease is a form used by employers to report workplace injuries or occupational diseases to the Division of Workers' Compensation.

Who is required to file dwc form-001 employer s?

Employers are required to file DWC Form-001 Employer's Report of Injury or Occupational Disease when an employee sustains a work-related injury or is diagnosed with an occupational disease.

How to fill out dwc form-001 employer s?

Employers must fill out DWC Form-001 Employer's Report of Injury or Occupational Disease by providing details of the employee, the injury or disease, and the circumstances surrounding it.

What is the purpose of dwc form-001 employer s?

The purpose of DWC Form-001 Employer's Report of Injury or Occupational Disease is to ensure that workplace injuries and occupational diseases are properly reported and that employees receive the necessary benefits.

What information must be reported on dwc form-001 employer s?

Information that must be reported on DWC Form-001 Employer's Report of Injury or Occupational Disease includes details of the employee, the injury or disease, and any medical treatment provided.