Get the free First Report of Injury - Hanover Insurance
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MN Department of Labor and Industry
Workers\' Compensation Division
(651) 2845032 or 18003425354First Report of Injury
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How to fill out first report of injury
How to fill out first report of injury
01
To fill out the first report of injury, follow these steps:
02
Begin by collecting all the necessary information about the injured person, such as their name, contact details, and job position.
03
Provide details about the incident, including the date, time, and location it occurred.
04
Describe the nature of the injury or illness and the body parts affected.
05
Include information about any witnesses present during the incident.
06
Specify the medical treatment provided and the healthcare provider's name.
07
Document any time missed from work due to the injury.
08
Finally, sign and date the report.
Who needs first report of injury?
01
The first report of injury is typically needed by the employer, the injured employee, and their respective legal representatives.
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What is first report of injury?
The first report of injury is a form that must be completed and submitted to report any work-related injury or illness.
Who is required to file first report of injury?
Employers are required to file the first report of injury when an employee experiences a work-related injury or illness.
How to fill out first report of injury?
The first report of injury form typically requires information about the employee, the nature of the injury or illness, and the circumstances surrounding the incident. It is important to provide accurate and detailed information.
What is the purpose of first report of injury?
The purpose of the first report of injury is to document work-related injuries and illnesses, track trends, and ensure that employees receive proper medical care and compensation.
What information must be reported on first report of injury?
Information that must be reported on the first report of injury includes the employee's name, date of birth, job title, date and time of the incident, description of the injury, and any medical treatment received.
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