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DEPARTMENT OF BUSINESS & INDUSTRY DIVISION OF INDUSTRIAL RELATIONS / WORKERS COMPENSATION SECTION 3360 West Sahara Ave., Suite 250, Las Vegas, NV 89102 Telephone: (702) 4869080 Fax: (702) 4869174COMPLAINT

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How to fill out workers compensation claim filing

01

Report your work-related injury or illness to your employer as soon as possible.

02

Obtain the necessary paperwork from your employer to file a workers' compensation claim.

03

Fill out the claim form accurately and completely, providing detailed information about your injury or illness.

04

Submit the completed claim form to your employer's workers' compensation insurance provider.

05

Keep copies of all documents related to your workers' compensation claim for your records.

Who needs workers compensation claim filing?

01

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

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What is workers compensation claim filing?

Workers compensation claim filing is the process by which an employee reports an injury or illness sustained in the course of their work to receive benefits such as medical expenses, rehabilitation, and lost wages.

Who is required to file workers compensation claim filing?

Employees who sustain a work-related injury or illness are required to file a workers compensation claim. Employers are also involved in the process as they may need to provide necessary information about the incident.

How to fill out workers compensation claim filing?

To fill out a workers compensation claim, an employee must complete a specific claim form provided by their employer or state workers compensation board, detailing personal information, the nature of the injury, the circumstances of the incident, and medical treatment received.

What is the purpose of workers compensation claim filing?

The purpose of workers compensation claim filing is to ensure that employees receive necessary medical care and financial support for work-related injuries or illnesses, while also protecting employers from litigation regarding these issues.

What information must be reported on workers compensation claim filing?

Information that must be reported includes the employee's personal details, a description of the injury or illness, the date and time of the incident, the location, details about any witnesses, and information about any medical treatment received.

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