WebWith Chesapeake Employers, you can report any workplace injury online, or by calling our Injury Reporting Hotline at 1-888-410-1400. In order to handle the situation as efficiently … WebE. The Administrative Official must report the incident to the IWIF 24-hour injury hotline (888-410-1400) within 72 hours of occurrence. IWIF then will provide a claim number to the Administrative Official. This claim number must be included on the “Employee’s Report of Injury” form and the “Supervisor’s Accident Investigation” form. F.

WORKERS COMPENSATION - FIRST REPORT OF …

WebDownload First Report of Injury. This form is used to report a work place injury to the Commission or to the Insurance Carrier/Claim Administrator depending on the date of … WebYou, the employer, are required to file Form SF-1, Employer's First Report of Injury (FROI), with your workers' comp insurance carrier and the WCC. You can get the form through the WCC's online filing system. You file the form within 10 days of being notified, orally or in writing, of the injury or accident. novartis found symp impact factor

Insurance, Compliance & Reporting Division Forms & Information

WebQuestions may be submitted in writing to the attention of State Workers' Compensation Commission, 10 East Baltimore Street, Baltimore, Maryland, 21202 Attention -Steven Jones, Director, Insurance, Compliance and Reporting Division, via email to [email protected] or by calling Mr. Jones at 410-864-5298. Webdate of injury/illness time of occurrence am last work date date employer date disability. began work. pm ( ) cannot be pm notified began. determined. contact name/phone number type of injury/illness part of body affected did injury/illness/exposure occur on employer’s type of injury/illness code part of body affected code. premises? yes no how to snip on macbook pro