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A9.720 Attachment 1 University of Hawaii I REPORT OF WORK-RELATED INJURY/ILLNESS I. Employee's Statement (to be completed by Employee or WC Coordinator in consultation with Employee) Dept/College:
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How to fill out about workers compensation:

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Begin by gathering all relevant information and documentation related to the injury or accident that occurred in the workplace.
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Ensure that you have the necessary forms, such as the report of injury form or workers' compensation claim form, provided by your employer or insurance provider.
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Fill out the forms accurately and thoroughly, providing detailed information about the incident, including the date, time, location, and description of the injury.
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Include any witnesses or individuals involved in the incident, ensuring their contact information is included.
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If there were any medical treatments or expenses incurred as a result of the injury, document them carefully and attach any relevant medical records or bills.
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Review the completed forms and double-check for any missing or incomplete information before submitting them.
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Keep copies of all documents for your records and submit the forms as instructed by your employer or insurance provider.

Who needs about workers compensation:

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Employees who have been injured or suffered an illness in the workplace are the ones who need to be aware of workers' compensation.
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Employers are also important stakeholders who should understand the workers' compensation process to ensure they fulfill their responsibilities in providing support to their injured employees.
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Insurance providers and claims administrators play a crucial role in managing workers' compensation claims, so they need to have extensive knowledge about the subject matter as well.
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