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The WSR contains a lot of important information that dictates the aspects of an injured worker's claim. The WSR includes the following basic information: patient's name, date of service, reason for visit, diagnoses, disposition, work restrictions, date of next follow-up appointment, and the doctor's signature.Your employer should report the injury as soon as possible, but no later than seven (7) days after their knowledge. Notify your supervisor immediately and report the work-related injury or illness to AmeriSys, then complete. The following forms need to be completed and submitted to EMPLOYERS when a work-related injury occurs: DWC1 First Report of Injury (FROI). WORKERS' COMPENSATION - WORK STATUS REPORT. Press firmly or type. Workers' Compensation Forms and Worksheets. Report all injuries immediately to your supervisor or Human Resource Department. Complete the Employee Injury Report Form.