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Information & Assistance Unit guide 18How to complete a document separator sheet In addition to the document cover sheet (see guide 17), forms filed with your local Workers Compensation Appeals Board
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How to fill out injured worker guide 18

01
To fill out the injured worker guide 18, follow these steps:
02
Start by reading the instructions provided in the guide thoroughly.
03
Ensure you have all the necessary information and documents related to the injured worker's case.
04
Begin by providing the injured worker's personal information, including their name, address, and contact details.
05
Fill out the section regarding the date and nature of the injury. Include details such as the location, time, and circumstances surrounding the incident.
06
Provide information about the employer, including their name, address, and contact details.
07
Include details of any witnesses present at the time of the injury, if applicable.
08
Complete the section related to the injured worker's medical treatment. Include the names of the healthcare providers, dates of treatment, and any medications prescribed.
09
Fill out the section regarding any benefits received by the injured worker, such as workers' compensation or disability benefits.
10
If the injured worker has lost wages due to the injury, provide details of their employment history, including the dates of employment, job titles, and earnings.
11
Review the completed form for accuracy and make any necessary corrections before submitting it.
12
Sign and date the form in the designated areas.
13
Make a copy of the filled-out form for your records and submit the original to the appropriate authority as instructed in the guide.

Who needs injured worker guide 18?

01
Injured worker guide 18 is needed by individuals who have suffered work-related injuries and need to file a claim for workers' compensation or other benefits.
02
Employers may also need this guide to gather relevant information and assist their employees in completing the form accurately.
03
Healthcare providers, attorneys, or any other professionals dealing with injured workers' cases may also require this guide to understand the process and help their clients.
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Injured worker guide 18 is a document that provides information to injured workers on their rights and responsibilities during the workers' compensation process.
Employers are required to provide injured worker guide 18 to employees who are injured on the job.
Injured worker guide 18 can be filled out by including all relevant information regarding the injury, treatment received, and any other pertinent details.
The purpose of injured worker guide 18 is to inform injured workers of their rights and responsibilities in relation to workers' compensation.
Information regarding the injury, treatment received, and any other relevant details must be reported on injured worker guide 18.
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