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FIRST REPORT OF INJURY OR ILLNESS RECEIVED BY CLAIMS-HANDLING ENTITY SENT TO DIVISION DATE DIVISION RECEIVED DATE FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION For assistance
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01
Gather necessary information: Before filling out the first report of injury, make sure to collect all relevant information related to the incident. This may include the date and time of the injury, the location or department where it occurred, the names and contact details of any witnesses, and a detailed description of how the injury happened.
02
Provide personal details: The first report of injury usually requires personal information about the injured person. This may include their full name, address, contact number, job title, and department. Ensure that this information is accurately filled out.
03
Describe the injury: Clearly articulate the nature and extent of the injury in the report. Include specific details such as body parts affected, severity, and any immediate medical treatment received.
04
Document witnesses and statements: If there were witnesses to the incident, record their names and contact information in the report. Additionally, include any statements provided by witnesses regarding the event.
05
Submit the report: Once the first report of injury is filled out completely, ensure that it is submitted to the appropriate party promptly. This might be a supervisor, HR department, or workers' compensation representative.

Who needs the first report of injury?

The first report of injury is typically required by employers, HR departments, and workers' compensation providers. It helps in documenting and initiating the necessary processes related to the injury, such as providing appropriate medical care, filing insurance claims, and implementing preventive measures to avoid similar incidents in the future.
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The first report of injury is a form that documents details of an injury or illness that occurred in the workplace.
Employers are required to file the first report of injury when an injury or illness occurs in the workplace.
The first report of injury should be filled out with details of the injured employee, the nature of the injury, and how the injury occurred.
The purpose of the first report of injury is to document workplace injuries and illnesses for record keeping and statistical purposes.
The first report of injury must include details such as the injured employee's name, date of injury, nature of injury, and how the injury occurred.
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