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County of Henrico Department of Finance, Risk Management DivisionPHYSICAL CAPABILITIES FORM FOR ALL NONWORKERS COMPENSATION RELATED INJURIES & ILLNESSES Instructions for the Employee: Please provide

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How to fill out claims workers compensation

01

Report the injury or illness to your employer

02

Fill out a claim form provided by your employer

03

Include all relevant details such as date of injury, location, and circumstances

04

Submit the completed claim form to the appropriate insurance carrier

05

Follow up on your claim to ensure it is processed in a timely manner

Who needs claims workers compensation?

01

Employees who have suffered a work-related injury or illness

02

Employers who are required by law to provide workers compensation coverage

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What is claims workers compensation?

Workers compensation is a form of insurance providing wage replacement and medical benefits to employees injured in the course of employment.

Who is required to file claims workers compensation?

Employers are required to provide workers compensation coverage for their employees, and employees who are injured on the job are required to file claims for compensation.

How to fill out claims workers compensation?

Employees can fill out claims for workers compensation by reporting their injury to their employer, completing the necessary forms provided by the employer or insurance carrier, and providing all relevant medical documentation.

What is the purpose of claims workers compensation?

The purpose of workers compensation claims is to provide financial and medical assistance to employees who are injured on the job, helping them recover and return to work.

What information must be reported on claims workers compensation?

Information that must be reported on workers compensation claims includes the details of the injury, the date and location of the accident, medical treatment received, and any lost wages.

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