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Employer Responsibilities Once a small business owner is notified of a potentially work-related injury or illness, they should provide the employee the DWC 1 claim form. The employer should fill out their part of the form and send the completed form to the insurance company.

Request an "Employee's Claim for Workers' Compensation Benefits" form from your supervisor (it's also known as a DWC 1 form). Your employer must give or mail you a claim form within one working day after learning about your injury or illness.

While federal OSHA doesn't require employers to have an IIPP, many state-run OSHA programs do. “One of the primary reasons to have an IIPP is so both employers and workers can understand the safety expectations on the job and ensure these expectations are being met,” says LHSFNA Management Co-Chairman Noel C.

Within 5 days of your initial examination, for every occupational injury or illness, send two copies of this report to the employer's workers' compensation insurance carrier or the insured employer. Failure to file a timely doctor's report may result in assessment of a civil penalty.

The Division of Workers' Compensation (DWC) monitors the administration of workers' compensation claims, and provides administrative and judicial services to assist in resolving disputes that arise in connection with claims for workers' compensation benefits.

CA-1 - Federal Employee's Notice of Traumatic Injury and Claim for Continuation of Pay/Compensation. Use for traumatic injury - employee was hurt because of a single event or within one workday. CA-2 - Notice of Occupational Disease and Claim for Compensation.

A DWC 1 is the form that is filled out to report an injury to your employer, and officially initiate a workers' compensation claim. DWC stands for Division of Workers' Compensation, this is the government agency that monitors workers' compensation claims and law.

ILLINOIS FORM 45: EMPLOYER'S FIRST REPORT OF INJURY.