North Dakota Injury Absence Report

State:
Multi-State
Control #:
US-AHI-276
Format:
Word; 
Rich Text
Instant download
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Public form

Description

This AHI form is used to document an absence due to work-related injury. The form also includes the number of hours lost due to the injury. This form must be submitted prior to the close each pay period.

How to fill out North Dakota Injury Absence Report?

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FAQ

Coverage can be obtained directly from WSI. The online application is a timesaving way to apply for workers' compensation insurance coverage online. Employers may also download the ND Application, complete it, and either fax it to 701-328-3750 or mail it to directly to WSI.

The highest workers' comp rates by state jurisdiction are:Alaska: $2.25.Montana: $1.84.California: $1.70.Hawaii: $1.67.South Carolina: $1.66.Idaho: $1.64.

Applying for workers' compensation benefits can be completed in a few different ways. You can complete a First Report of Injury (FROI) online. You can also fax a completed FROI to WSI at 701-328-3820 or 888-786-8695 or mail it to PO Box 5585, Bismarck, ND 58506-5585. Call us at 800-777-5033 with questions.

The weekly payment minimum is 60% of the North Dakota state average weekly wage, $376, or the employees actual wage if it is less. The weekly maximum is $689, 110% of the injured workers actual average weekly wage.

When & How to Document Workplace InjuryGet to the site as quickly as possible.Ensure the area is safe to enter.Make sure the injured/ill person is receiving first-aid or medical attention.Identify any witnesses.Record the scene with photos (ideally with date and time stamp) or sketches.Safeguard any evidence.More items...

Some states however prohibit the sale of workers compensation by private insurers and, instead, require employers to purchase coverage from a government-operated fund. North Dakota, Ohio, Wyoming, and Washington are the four states with this specific requirement and are referred to as monopolistic states.

North Dakota's Workers' Compensation law, with limited exceptions, requires all employers to insure all employees including full-time, part-time, seasonal, and occasional workers before employees begin working. It is unlawful to deduct any portion of the premium from wages or salary of any employee.

North Dakota's Workers' Compensation law, with limited exceptions, requires all employers to insure all employees including full-time, part-time, seasonal, and occasional workers before employees begin working. It is unlawful to deduct any portion of the premium from wages or salary of any employee.

North Dakota law requires businesses (with limited exceptions) to have workers' compensation insurance prior to hiring their first employee. Workers' compensation insurance is meant to protect both your company and your employees. To receive the latest employer newsletter, subscribe to our Employer InSite .

More info

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North Dakota Injury Absence Report