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All employers are required to notify OSHA when an employee is killed on the job or suffers a work-related hospitalization, amputation, or loss of an eye. Continuation of regular pay (COP) not to exceed 45 days and compensation for wage loss if disability for work continues beyond 45 days.Employee: Please complete all boxes 1 - 18 below. WC-1 EMPLOYER'S FIRST REPORT OF INJURY OR OCCUPATIONAL DISEASE. Both workers and employers are required to complete a notification step after a worker suffers a workplace injury. Worker. If injured, you should (1) report your injury to your employer immediately; and (2) file a claim with the Commission no later than two years after the accident. If you need assistance completing this form, please contact your insurer for guidance on the best method of reporting work-related accident information. Make sure you have first aid available at your workplace. Many falls, cuts, and sprains can become serious injuries if they aren't treated. The worker and employer may complete this form together or they may each submit a separate form.