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Get the free First Report of Injury - County of Milwaukee - county milwaukee

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SUPERVISOR'S REPORT. DATE: NAME AND POSITION OF PERSON PREPARING REPORT: ... MILWAUKEE COUNTY — FIRST NOTICE OF INJURY FORM.
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How to fill out first report of injury

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How to fill out first report of injury

01
Gather all the necessary information about the injured person, such as their name, contact details, and job position.
02
Obtain details about the injury, including the date and time it occurred, the location, and a description of how it happened.
03
Identify any witnesses to the incident, and record their names and contact information.
04
Complete the necessary forms provided by your employer or insurance company. Fill out all required fields accurately and legibly.
05
Include any additional relevant information, such as medical treatment received, hospital visits, or medications prescribed.
06
Make copies of the completed report for your own records before submitting it to the appropriate party.
07
Keep track of any follow-up actions required, such as providing further documentation or attending medical examinations.
08
Inform your supervisor or HR department about the submission of the first report of injury, ensuring they are aware of any necessary next steps.
09
Maintain open communication with your employer, insurance provider, or legal counsel regarding the status of your injury claim.

Who needs first report of injury?

01
Any employee who has suffered a work-related injury or illness needs to fill out the first report of injury.
02
Employers may also require their employees to fill out the report for any injuries or accidents occurring on company premises.
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The first report of injury is a form that must be completed by employers to report any workplace injuries or illnesses.
Employers are required to file the first report of injury.
The first report of injury should be filled out with detailed information about the incident, including the date, time, location, and description of the injury.
The purpose of the first report of injury is to document workplace injuries or illnesses and provide information for workers' compensation claims.
Information such as the name of the injured employee, date and time of injury, description of injury, and any medical treatment received must be reported on the first report of injury.
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