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WORKERS COMPENSATION COMMISSION 1915 NORTH STILES AVENUE STE 231 OKLAHOMA CITY, OK 73105CCFORM2Applicable to Injuries /Deaths Occurring On or After 2/1/14 Send original to Workers Compensation Commission
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How to fill out cc-form-1a oklahoma workers compensation

How to fill out cc-form-1a oklahoma workers compensation
01
Obtain the CC-Form-1A from the Oklahoma Workers' Compensation Commission website or your employer.
02
Fill in the employee's full name, address, and contact information at the top of the form.
03
Provide the date of the injury and a brief description of how the injury occurred.
04
Include the employer's name, address, and contact information in the designated section.
05
List any witnesses to the injury, if applicable.
06
Sign and date the form to certify that the information provided is true and complete.
07
Submit the completed form to the appropriate office, either your employer or directly to the Workers' Compensation Commission.
Who needs cc-form-1a oklahoma workers compensation?
01
Employees in Oklahoma who have suffered an injury or illness related to their job.
02
Employers who need to report work-related injuries to the Workers' Compensation Commission.
03
Independent contractors or volunteers who are seeking workers' compensation benefits in specific situations.
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What is cc-form-1a oklahoma workers compensation?
CC-Form-1A is a form used in Oklahoma to report an employee's injury for workers' compensation claims.
Who is required to file cc-form-1a oklahoma workers compensation?
Employers in Oklahoma who have an injured employee must file CC-Form-1A within a specific timeframe.
How to fill out cc-form-1a oklahoma workers compensation?
To fill out CC-Form-1A, provide detailed information about the employee, the injury, and relevant medical details, ensuring all sections are completed accurately.
What is the purpose of cc-form-1a oklahoma workers compensation?
The purpose of CC-Form-1A is to formally initiate the workers' compensation process for reporting workplace injuries and ensuring that employees receive necessary benefits.
What information must be reported on cc-form-1a oklahoma workers compensation?
CC-Form-1A must include information such as the employee's name, details of the injury, date of the incident, and any medical treatment received.
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