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ARKANSAS WORKERS COMPENSATION COMMISSION Form ARNN324 Spring Street, Little Rock, AR 72201 Mail: P. O. Box 950, Little Rock, AR 722030950 5016823930 / 18006224472Ark. C ode Ann. 119701, 508, 514 AW
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How to fill out employees notice of injury

01
Obtain the employees notice of injury form from your human resources department or download it from your company's website.
02
Fill out the employee's personal information section including their name, address, phone number, and employee ID.
03
Provide details about the injury such as the date, time, and location it occurred.
04
Describe how the injury happened and provide any additional relevant information.
05
Indicate whether the injury required medical attention and if so, include details of the medical provider and treatment received.
06
Sign and date the form.
07
Submit the completed employees notice of injury form to your supervisor or designated personnel.

Who needs employees notice of injury?

01
Employers or organizations that have employees who have suffered a work-related injury need employees notice of injury forms. This includes organizations in industries where workplace injuries are common, such as construction, manufacturing, healthcare, and transportation. The form is used to document the details of the employee's injury for workers' compensation purposes and to initiate any necessary medical or insurance claims.
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Employees notice of injury is a form that employees fill out to report any injuries that occur while on the job.
The injured employee or their representative is required to file the employees notice of injury.
Employees can fill out the notice of injury form by providing details about the injury, when and where it occurred, and any other relevant information.
The purpose of the employees notice of injury is to document and report any injuries that occur in the workplace for proper investigation and compensation.
The employees notice of injury should include details such as the date, time, location of the injury, how it occurred, and any witnesses.
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