First Report Of Occupational Injury Or Disease | Pdf Fpdf Doc Docx | Delaware

 Delaware   Workers Compensation 
First Report Of Occupational Injury Or Disease | Pdf Fpdf Doc Docx | Delaware

Last updated: 8/21/2023

First Report Of Occupational Injury Or Disease

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Description

STATE OF DELAWARE FIRST REPORT OF OCCUPATIONAL INJURY OR DISEASE. This form is used for reporting the first instance of an occupational injury or disease in the state of Delaware. It is intended to provide all necessary information about the employee, the employer, and the incident for the purpose of workers' compensation. The form collects details such as employee information, employer information, injury specifics, medical information, and distribution of the report. It also includes important instructions for both the employer and the employee on what actions they should take in case of an injury, including providing medical treatment, reporting the injury, and notifying relevant authorities. The completed form is distributed to various parties, including the workers' compensation insurance carrier, the Office of Workers' Compensation, the employer, and the employee. www.FormsWorkflow.com

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