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Tell what the injured was doing at the time of the accident. Tell what happened and how it happened.The Employer's First Report of Injury or Illness provides information on the claimant, employer, insurance carrier and medical practitioner necessary to begin. Description: This form is for the employer to report every work-related injury to its insurance company. If you need assistance completing this form, please contact your insurer for guidance on the best method of reporting work-related accident information. Instructions: Complete this form as soon as possible after an incident that results in serious injury or illness. There are presently two options for completing the Employer's First Report of Injury form and filing it with NH Department of Labor. This form will be returned and additional information will be requested if it is not properly completed. The employer is responsible for accurately completing all sections of this form when an employee is injured. TO BE COMPLETED BY INSURANCE CARRIER OR SELF-INSURED EMPLOYER.