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Get the free workers' comp: new injury packet

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Workers Compensation New Injury PacketRisk Management Department 1319 Earl Campbell Parkway, Tyler, TX 75701 Phone 9032621122 Fax 9032621173 Revised 11/1/2024Table of ContentsEmployee Workers Compensation
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How to fill out workers comp new injury

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How to fill out workers comp new injury

01
Obtain the appropriate workers' compensation claim form from your employer or the state workers' compensation office.
02
Fill out your personal information including your name, address, and contact details.
03
Provide details of your injury, including the date, time, and location where it occurred.
04
Describe the nature of the injury and how it happened, including any witnesses if applicable.
05
Indicate whether you have sought medical treatment and provide details of the healthcare provider.
06
Review the filled form for accuracy and completeness.
07
Submit the completed form to your employer or directly to the workers' compensation board as instructed.
08
Keep a copy of the submitted form and any relevant documents for your records.

Who needs workers comp new injury?

01
Anyone who has sustained a work-related injury or illness may need to file for workers' compensation, including employees, contractors, and interns.
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Workers' compensation new injury refers to a recent injury that has occurred in the workplace, which may entitle the injured employee to benefits such as medical treatment and wage replacement.
Generally, both the injured employee and the employer are required to file a workers' compensation claim for a new injury. The employee must report the injury, while the employer must file the claim with their insurance provider.
To fill out a workers' comp new injury claim, the injured employee should provide personal information, details about the injury, the circumstances surrounding it, any witnesses, and medical information if applicable. This form is typically submitted to the employer or the workers' compensation insurance provider.
The purpose of workers' compensation for a new injury is to provide financial support to employees who are injured at work, covering medical expenses and lost wages while they recover, thus ensuring they receive the care they need without financial burden.
Information that must be reported includes the employee's personal details, date and time of the injury, specifics of how the injury occurred, type of injury, medical treatment received, and any witness information.
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