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Workers Compensation Act 1987
Initial Notification of Injury
Policy no. This form is to be used when a worker suffers a workplace injury or illness where workers compensation
is or may be payable.
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How to fill out initial notification of injury
How to fill out initial notification of injury
01
Step 1: Obtain the initial notification of injury form from your employer or insurance provider.
02
Step 2: Fill out the form with accurate and detailed information about the injury.
03
Step 3: Provide your personal information, including your name, address, and contact details.
04
Step 4: Specify the details of the injury, including the date, time, and location of the incident.
05
Step 5: Describe the nature of the injury and provide additional details, such as the body part affected and any accompanying symptoms.
06
Step 6: Include information about any witnesses who may have observed the incident.
07
Step 7: Sign and date the form to certify its accuracy and completeness.
08
Step 8: Submit the completed form to your employer or insurance provider as instructed.
Who needs initial notification of injury?
01
Anyone who has suffered an injury and wishes to report it to their employer or insurance provider needs to fill out the initial notification of injury form.
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What is initial notification of injury?
Initial notification of injury is the first report made to the relevant authorities regarding an injury or accident that occurred in the workplace.
Who is required to file initial notification of injury?
Employers are required to file the initial notification of injury.
How to fill out initial notification of injury?
The initial notification of injury can be filled out online or submitted as a physical form to the appropriate agency.
What is the purpose of initial notification of injury?
The purpose of initial notification of injury is to ensure that workplace injuries are properly documented and reported for follow-up actions.
What information must be reported on initial notification of injury?
Information such as the date and time of the incident, location, description of the injury, and details of the injured employee must be reported on the initial notification of injury.
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