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WORKERS COMPENSATION PROCEDURE MANUALSchool District of PhiladelphiaUpdated 1×8/2020New Procedure for Filing a Workers Compensation Claim 1. Immediately notify your Climate and Safety officer on

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How to fill out workers compensation forms

01

Step 1: Collect all necessary information, including the employee's name, address, and contact information.

02

Step 2: Obtain detailed information about the workplace accident or injury, such as the date, time, and location of the incident.

03

Step 3: Document the nature of the injury or illness and any symptoms experienced.

04

Step 4: Include any medical treatment received and the name of the healthcare provider.

05

Step 5: Provide a detailed account of the events leading up to the accident or injury.

06

Step 6: Attach any supporting documents, such as medical records or witness statements.

07

Step 7: Review the completed form for accuracy and ensure all necessary sections are filled out.

08

Step 8: Submit the form to the relevant workers' compensation agency within the designated timeframe.

Who needs workers compensation forms?

01

Workers who have suffered a work-related injury or illness and are seeking compensation for medical expenses, lost wages, or other related benefits.

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What is workers compensation forms?

Workers compensation forms are documents that must be completed by employers to report workplace injuries or illnesses suffered by employees.

Who is required to file workers compensation forms?

Employers are required to file workers compensation forms.

How to fill out workers compensation forms?

Workers compensation forms can be filled out by providing details about the injury or illness, the affected employee, and the circumstances surrounding the incident.

What is the purpose of workers compensation forms?

The purpose of workers compensation forms is to ensure that employees receive the appropriate benefits for work-related injuries or illnesses.

What information must be reported on workers compensation forms?

Information that must be reported on workers compensation forms includes details about the injury or illness, the date and time it occurred, and the employee's name and contact information.

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