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WORKERS COMPENSATION INSURANCE EMPLOYEES LEAVE ELECTION Employees Acclaim Numerate of Injury you have an onthejob injury covered by workers' compensation insurance and are unable to work because of
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01
Gather all necessary information including injured worker's name, address, social security number, date of birth, and date of injury
02
Complete the Employer's First Report of Injury or Illness form, including details of how the injury occurred and any witnesses to the incident
03
Submit the completed form to the Virginia Workers' Compensation Commission within 10 days of the injury

Who needs injured workers - virginia?

01
Employers in Virginia who have workers' compensation insurance are required to fill out injured workers' forms for any employee who suffers a work-related injury
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In Virginia, injured workers refers to employees who have sustained injuries or illnesses as a result of their work-related duties, which entitles them to benefits under the state's workers' compensation laws.
Employers in Virginia are required to file an injury report if an employee is injured on the job. Additionally, injured workers must file a claim to receive workers' compensation benefits.
To fill out the injured workers form in Virginia, you need to provide details about the injury, including the date and circumstances of the incident, employee and employer information, and any medical treatment received.
The purpose of the injured workers program in Virginia is to provide financial and medical benefits to employees who are injured on the job, ensuring they receive necessary care and compensation during their recovery.
The information that must be reported includes the employee's name, date of injury, nature of the injury, details of the incident, and any medical treatment received, along with employer information.
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