Nevada Reporting Injuries and Illnesses Checklist

State:
Multi-State
Control #:
US-445EM
Format:
Word; 
Rich Text
Instant download

Description

This Employment & Human Resources form covers the needs of employers of all sizes.

How to fill out Reporting Injuries And Illnesses Checklist?

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FAQ

If it's an emergency, call 911 or go to an emergency room right away. Tell the medical staff that your injury or illness is job-related. If you can safely do so, contact your employer for further instructions. If you don't need emergency treatment, make sure you get first aid and see a doctor if necessary.

Yes, as mentioned above, most states require employers to report all employee injuries and potential workers' compensation claims. Failure to do so can often result in fines as a penalty for failure to report claims.

The statute says the injured worker must notify their employer as soon as practicable, but within 7 days after the accident. I recommend telling your employer the day you are injured, regardless of how severe you think it is.

For each percent of impairment, you will receive 0.6% of your average monthly wage at the time of your injury. For example, suppose you have 10% impairment, and your average monthly wage is $2,400. Your permanent partial disability award would be calculated as follows: (. 006) x $2,400 x 10 = $144 per month.

A report of the occupational injury/illness should be made with the employer in a timely manner. Employers typically request that employees report occupational injuries/illnesses immediately but no later than 24 to 48 hours after the incident.

Nevada law requires all private employers with one or more employees to have workers' compensation insurance. Worker's comp pays for medical bills, lost wages, and any permanent disability suffered by workers who are injured on the job.

This must be done within 90 days of the injury. A workers' compensation claim is filed when the doctor sends the form to the insurance company after examining the injured worker.

Within seven days of the injury, the injured workers should notify the employer and submit an Incident Report. If the injured worker requires medical treatment or misses work, he or she should fill out an Employee's Claim for Compensation.

The amount of the TTD payment is 66.66% of the injured worker's wage and paid bi-weekly. Money an injured worker, who is back to work, but earning less than his or her pre-injury wages, receives to supplement wages earned.

DWC-1 Workers Compensation Claim Form. This is the form you will complete and send to EMPLOYERS to initiate the claim process for your employee. This form must be completed and provided to EMPLOYERS within one working day from you becoming aware of a work-related injury or occupational disease.

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Nevada Reporting Injuries and Illnesses Checklist