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WORKERS COMPENSATION FIRST REPORT OF INJURY OR ILLNESS EMPLOYER (NAME & ADDRESS INCL ZIP)Morehouse Parish School Board P O Box 872 Bastrop, LA 71221CARRIER/ADMINISTRATOR CLAIM NUMBER OSHA LOG UNDERREPORT

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How to fill out workers compensation first report

01

Obtain the necessary forms from your employer or workers' compensation insurance carrier.

02

Fill out the employee information section with your personal details.

03

Provide details about how and when the injury occurred in the incident description section.

04

List all body parts affected by the injury in the body part section.

05

Sign and date the form before submitting it to your employer or insurance carrier.

Who needs workers compensation first report?

01

Employees who have suffered a work-related injury or illness and are seeking compensation benefits.

02

Employers who are required by law to report workplace injuries to their insurance carrier.

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What is workers compensation first report?

Workers compensation first report is a form that must be completed and submitted by an employer to their insurance carrier or state agency when an employee is injured on the job.

Who is required to file workers compensation first report?

Employers are required to file workers compensation first report when an employee is injured on the job.

How to fill out workers compensation first report?

Workers compensation first report must be filled out with detailed information about the injury, including the date, time, and location of the incident, as well as the nature of the injury and any medical treatment received.

What is the purpose of workers compensation first report?

The purpose of workers compensation first report is to document and report workplace injuries so that the injured employee can receive appropriate medical treatment and benefits.

What information must be reported on workers compensation first report?

The workers compensation first report must include information such as the injured employee's name, details of the injury, date and time of the incident, witnesses, and any medical treatment provided.

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