Louisiana Employer Report of Injury Or Illness

State:
Louisiana
Control #:
LA-SKU-0627
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PDF
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Description

Employer Report Of Injury Or Illness

The Louisiana Employer Report of Injury Or Illness is a document used by employers in the state of Louisiana to report any workplace injury or illness that has occurred. This document must be completed by the employer and submitted to the Louisiana Department of Labor. The employer must provide all the relevant information regarding the incident, including the date, time, and location of the incident; the name of any injured persons; a description of the incident; and any other pertinent information. The form must also be signed by the employer or a supervisor. There are two different types of Louisiana Employer Report of Injury or Illness: the first is for reporting workplace injuries or illnesses that require medical treatment, and the second is for reporting workplace injuries or illnesses that do not require medical treatment.

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FAQ

Louisiana Workers Comp Time Limit In Louisiana workers compensation, an injured worker must report his or her accident or injury to the employer within 30 days of the day that it occurs, or else the worker's right to recover workers compensation benefits may expire.

There are several crucial steps that you should take immediately after a work injury occurs. The three steps that are universal are: report the incident, seek medical attention, and speak to an attorney about your workers' compensation claim.

After an injury or illness occurs, your employer must: Provide a workers' compensation claim form to you within one working day a work-related injury or illness is reported. Return a completed copy of the claim form to you within one working day of receipt.

If you are injured at work, or have a work-related illness: Immediately report any work-related injury to your supervisor. If you require emergency medical treatment, obtain care first, and then notify your supervisor as soon as possible after receiving treatment.

Report the injury or illness to your employer If you don't report your injury within 30 days, you could lose your right to receive workers' compensation benefits.

The Employer Obligations after a Non-workplace Injury Even though the employee has been injured outside of work, the employer still has responsibilities. Employers must allow the employee to take time off work to recover from the injury and undergo medical treatment.

The general rule is that all injuries and illnesses which result from events or exposures on the employer's premises are presumed to be work related. Furthermore, if it seems likely that an event or exposure in the work environment either caused or contributed to the case, the case is considered work related.

Call the nearest OSHA office. Call the OSHA 24-hour hotline at 1-800-321-6742 (OSHA).

More info

Office of Workers' Compensation Programs. Instructions: Complete this form as soon as possible after an incident that results in serious injury or illness.The records must be maintained at the worksite for at least five years. Please complete in triplicate (type if possible) Mail two copies to: OSHA CASE NO. FATALITY. INSTRUCTIONS FOR EMPLOYERS FIRST REPORT OF. INJURY OR ILLNESS (DWC FORM-001). Type (or print in black ink) each item on this form. This form is for the employer to report every work-related injury to its insurance company. This Form Is Semi-Interactive And May Be Filled Out Online. (Please read the instructions on page 2 for completing this form). WC-1 EMPLOYER'S FIRST REPORT OF INJURY OR OCCUPATIONAL DISEASE.

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Louisiana Employer Report of Injury Or Illness