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1600 E Century Ave, Ste 1 PO Box 5585 Bismarck ND 585065585 Telephone 8007775033 Toll Free Fax 8887868695 TTY (hearing impaired) 8003666888 Fraud and Safety Hotline 8002433331 www.workforcesafety.comNURSE
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To fill out the ND Workforce Safety & Insurance form, follow these steps:
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Obtain the form either online or in person from the ND Workforce Safety & Insurance office.
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Read the instructions carefully to understand the requirements and sections of the form.
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Begin by providing your personal information, such as name, address, and contact details.
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Fill out the relevant sections pertaining to your employment details, including job title, company name, and worker classification.
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If applicable, provide information about any previous workers' compensation claims or injuries.
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The ND Workforce Safety and Insurance (WSI) program is designed to provide workers' compensation coverage for employees in North Dakota, ensuring that workers injured on the job receive necessary medical and wage-loss benefits.
All employers in North Dakota who have employees are required to file with the ND Workforce Safety and Insurance. This includes both private and public sector employers.
Employers must complete the ND Workforce Safety and Insurance application form available on the WSI website. The form requires details about the business, including the type of work performed, number of employees, and payroll estimates.
The purpose of ND Workforce Safety and Insurance is to ensure that all employees in North Dakota are provided with adequate workers' compensation coverage, enhancing workplace safety and providing financial protection for both workers and employers.
Employers need to report information regarding employee counts, payroll details, classification codes related to the type of business, and any claims of workplace injuries or illnesses.
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