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Get the free South Dakota Employer’s First Report of Injury

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This form is used by employers in South Dakota to report an employee's injury that occurred during work. It requires details about the employee, the injury, the circumstances surrounding it, and the
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How to fill out South Dakota Employer’s First Report of Injury

01
Obtain the South Dakota Employer’s First Report of Injury form from the South Dakota Department of Labor website or your local office.
02
Fill out the employer's information section, including the business name, address, and contact details.
03
Enter the employee's information, such as their name, address, position, and date of hire.
04
Provide details about the injury, including the date and time of the incident, the location, and a description of what happened.
05
Document the nature of the injury and any treatment that was provided.
06
Indicate if the employee missed work due to the injury and specify the dates.
07
Ensure that all sections of the form are completed accurately and double-check your entries for any errors.
08
Submit the completed form to the South Dakota Department of Labor as well as keep a copy for your records.

Who needs South Dakota Employer’s First Report of Injury?

01
Employers in South Dakota are required to complete the Employer’s First Report of Injury for any work-related injuries or illnesses experienced by their employees.
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You should report the work-related accident as soon as possible but no later than thirty (30) days from the date the accident occurs, or within thirty (30) days of the date the doctor says you are suffering from a work-related injury.
After the injury, go directly to your supervisor or boss and tell them exactly what happened. You can tell your boss in person, if you are in the same location, or over the phone if you're in a different location. You'll want to tell them the order of events and the names of anyone who saw the injury occur.
South Dakota: 3 business days to report injury. 2-year deadline to file for worker's compensation from date of injury.
State Deadlines for Filing a Workers' Compensation Claim AlabamaWithin 2 years from the date of injury or the date of the last compensation payment California Within 1 year from the date of injury Colorado Within 2 years from the date of injury or within 3 years with a compelling reason48 more rows
Any work-related injury or illness requiring medical treatment beyond first aid. Any work-related diagnosed case of cancer, chronic irreversible diseases, fractured or ed bones or teeth, and punctured eardrums.

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The South Dakota Employer’s First Report of Injury is a form used by employers to report any workplace injuries to the South Dakota Department of Labor and Regulation.
Employers in South Dakota are required to file the Employer’s First Report of Injury when an employee sustains an injury that results in lost time from work or requires medical treatment.
To fill out the South Dakota Employer’s First Report of Injury, employers must provide detailed information about the employee, the nature of the injury, the circumstances surrounding the incident, and any treatment received.
The purpose of the form is to officially document workplace injuries, ensure that employees receive the necessary care, and to assist in the processing of workers' compensation claims.
The report must include the employee's name, date of injury, time and location of the incident, a description of the injury, and details about medical treatment, if applicable.
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