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Complete the MN Department of Labor\'s First Report of Injury to file a workers\' compensation claim efficiently, ensuring all details of the incident are accurately documented.
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How to fill out first report of injury

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How to fill out first report of injury

01
Obtain the first report of injury form from your human resources department or supervisor.
02
Fill out the form completely and accurately, providing all the necessary information about the injury, including date, time, location, and description of the incident.
03
Include any witnesses to the injury if applicable.
04
Make sure to sign and date the form before submitting it to the appropriate department or personnel.

Who needs first report of injury?

01
Employees who have been injured on the job.
02
Employers who are required to report workplace injuries to comply with occupational health and safety regulations.
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The first report of injury is a document that provides initial details about an employee's work-related injury or illness, including the nature of the injury and circumstances surrounding it.
Typically, the employer or their representative is required to file the first report of injury on behalf of the injured employee.
To fill out the first report of injury, you should provide accurate information about the injured employee, details of the incident, type of injury, and witness accounts if applicable. It usually requires signatures as well.
The purpose of the first report of injury is to formally document work-related injuries or illnesses to ensure proper processing of workers' compensation claims and to facilitate appropriate medical treatment.
Information that must be reported includes the employee's name, job title, date and time of the injury, description of the injury, how it occurred, and any medical treatment received.
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