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MWC WORKERS COMPENSATION FIRST REPORT OF INJURY OR ILLNESS EM PLAYER (N A ME & A D DRESS INCL ZIP)C CARRIER/A D M MINISTRY TOR CL A M NU M BER Mississippi University for Women 1100 College Street,
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How to fill out first report of injury

01
Gather all necessary information such as employee details, date and time of injury, location of injury, witness information, and details of the injury.
02
Complete the required sections on the first report of injury form accurately and clearly.
03
Review the completed form for any errors or missing information.
04
Submit the completed first report of injury form to the designated person or department within the organization.

Who needs first report of injury?

01
Employees who have experienced a work-related injury or illness.
02
Employers or supervisors who need to document and report work-related injuries.
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The first report of injury is a form that documents an employee's work-related injury or illness.
Employers are required to file the first report of injury when an employee is injured or becomes ill due to work-related activities.
The first report of injury can be filled out by providing details about the employee, the nature of the injury or illness, and the circumstances surrounding the incident.
The purpose of the first report of injury is to document and track work-related injuries or illnesses to ensure that the employee receives appropriate medical care and that the employer takes steps to prevent future incidents.
Information that must be reported on the first report of injury includes the employee's name, date of injury, location of injury, description of the injury, and any treatment received.
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