Nevada Notice of Injury Or Occupational Disease Incident Report

• Category: Nevada Workers Compensation - Official
• State: Nevada
• Control #: NV-SKU-2958
• Format: PDF

Description

Notice of Injury Or Occupational Disease Incident Report The Nevada Notice of Injury or Occupational Disease Incident Report is a document used by employers to report employee injuries or illnesses that are related to the employee's job. It is a regulatory requirement of the Nevada Division of Industrial Relations and must be completed and submitted to the Division within five days of the incident. There are two types of Nevada Notice of Injury or Occupational Disease Incident Report: Form DIR-1 and Form DIR-3. Form DIR-1 is a short form that is used for first-time injuries or illnesses and does not require medical information. It includes the employer and employee's contact information, the date and time of the incident, a brief description of the incident, and the nature of the injury or illness. Form DIR-3 is a more detailed form that includes medical information and is used for follow-up reporting. It includes the employer and employee's contact information, the date and time of the incident, a detailed description of the incident, the nature of the injury or illness, any medical treatment received, the name of the attending physician, the names of any witnesses, and any other relevant information. Both forms must be signed and dated by the employer and employee.

The Nevada Notice of Injury or Occupational Disease Incident Report is a document used by employers to report employee injuries or illnesses that are related to the employee's job. It is a regulatory requirement of the Nevada Division of Industrial Relations and must be completed and submitted to the Division within five days of the incident. There are two types of Nevada Notice of Injury or Occupational Disease Incident Report: Form DIR-1 and Form DIR-3. Form DIR-1 is a short form that is used for first-time injuries or illnesses and does not require medical information. It includes the employer and employee's contact information, the date and time of the incident, a brief description of the incident, and the nature of the injury or illness. Form DIR-3 is a more detailed form that includes medical information and is used for follow-up reporting. It includes the employer and employee's contact information, the date and time of the incident, a detailed description of the incident, the nature of the injury or illness, any medical treatment received, the name of the attending physician, the names of any witnesses, and any other relevant information. Both forms must be signed and dated by the employer and employee.