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WORKERS COMPENSATION CLAIM INFORMATION Should you be injured on the job, IMMEDIATELY: 1. Seek appropriate medical attention 2. Gather the following information 3. Complete form and email to Sheri.
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How to fill out should you be injured

01
Assess the severity of your injury. If it is a minor injury that can be treated at home, you may not need to fill out should you be injured. However, if it is a serious injury that requires medical attention, it is important to fill out the necessary forms.
02
Contact your employer or supervisor as soon as possible to inform them about the injury. They will provide you with the necessary forms to fill out.
03
Provide accurate and detailed information about the injury in the form. Include the date, time, and location of the incident, as well as a description of how the injury occurred.
04
Make sure to include any witnesses to the incident and their contact information. Their testimony may be important for the processing of your claim.
05
Attach any relevant medical records or documentation to support your claim. This may include hospital records, doctor's notes, or X-ray reports.
06
Review the completed form for any errors or missing information before submitting it. Double-check all the details to ensure accuracy.
07
Submit the filled-out form to the appropriate authority within your organization, such as the human resources department or the designated injury reporting office.
08
Keep a copy of the completed form for your records. This will serve as proof that you reported the injury and filled out the required forms.
09
Follow up with your employer or supervisor to ensure that the necessary steps are being taken to address your injury and provide any further information or documentation required.

Who needs should you be injured?

01
Anyone who experiences an injury while on the job needs to fill out should you be injured forms. This applies to employees in both hazardous and non-hazardous work environments. Regardless of the severity of the injury, it is important to document and report any workplace injury.
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It is a form that must be filled out in case of an injury.
The injured individual or someone on their behalf is required to file the form.
The form should be filled out with all the necessary information about the injury.
The purpose of the form is to report any injuries that occur.
Information such as the nature of the injury, when and where it occurred, and any contributing factors must be reported.
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