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System wide Policy: HR0397 Worker's Compensation Version: 18 Effective Date: 10/01/2017HR0397 Workers Compensation Topics: Workplace Injury Reporting ResponsibilitiesReturn to Workbench from WorkRecordkeepingContinuation
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01
Obtain a copy of the HR0397 - Workers Compensation form.
02
Fill in your personal information, such as your name, employee ID, and contact details.
03
Provide details about your injury or illness, including the date and time it occurred.
04
Specify the location where the incident took place.
05
Describe the nature of your injury or illness and the body parts affected.
06
If you received medical treatment, provide the name and contact information of your healthcare provider.
07
Indicate whether you have reported this incident to your supervisor or manager.
08
Sign and date the form to certify the accuracy of the information provided.

Who needs hr0397 - workers compensation?

01
Employees who have experienced work-related injuries or illnesses and are seeking workers' compensation benefits need to fill out HR0397 - Workers Compensation form.
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hr0397 - workers compensation is a form used by employers to report information regarding workers' compensation insurance coverage for their employees.
Employers who have employees covered by workers' compensation insurance are required to file hr0397 - workers compensation.
hr0397 - workers compensation can typically be filled out online or through a paper form provided by the state's workers' compensation board. Employers need to provide information about their company, their employees, and their workers' compensation insurance coverage.
The purpose of hr0397 - workers compensation is to ensure that employers have the necessary insurance coverage to provide compensation to employees who are injured or become ill due to work-related activities.
Information that must be reported on hr0397 - workers compensation includes details about the employer, the employees covered by the insurance, the insurance provider, and the coverage limits.
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