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IA1WORKERS COMPENSATION FIRST REPORT OF INJURY OR ILLNESS General Employer (Name & Address incl. zip) N/Carrier/Administrator Claim Number Report Purpose Code Jurisdiction Claim Number Insured Report
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The ia-1workers compensation first report is a form that must be filed when an employee is injured on the job and a workers' compensation claim needs to be initiated.
Employers are required to file the ia-1workers compensation first report when an employee is injured on the job.
The ia-1workers compensation first report can be filled out online or submitted in paper form, providing details about the injury, how it occurred, and the employee's information.
The purpose of the ia-1workers compensation first report is to document the injury, provide information to the workers' compensation insurance carrier, and initiate the claims process.
The ia-1workers compensation first report must include details about the injury, how it occurred, the employee's information, and any witnesses to the incident.
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