Wisconsin Employer's First Report of Injury or Disease -- This is a Word file that is protected from modification and enabled for form fill (includes tabbed fields for form completion).

• Category: Workers Compensation - Official
• State: Wisconsin
• Control #: WI-SKU-2353
• Format: Word

Description

Employer's First Report of Injury or Disease -- This is a Word file that is protected from modification and enabled for form fill (includes tabbed fields for form completion).

Wisconsin Employer's First Report of Injury or Disease — This is a Word file that is protected from modification and enabled for form fill (includes tabbed fields for form completion). The Wisconsin Employer's First Report of Injury or Disease is a form used by employers to report workplace injuries or diseases to the Wisconsin Department of Workforce Development. The form is designed to be completed electronically and includes tabbed fields for the user to enter information into. The form includes sections for the employer to provide information about the incident, the employee, the type of injury/illness, treatment information, and details about the worker’s compensation insurance coverage. The form also includes a section for the employer to provide an explanation of the injury/illness and a summary of the employer’s investigation into the incident. There are two types of Wisconsin Employer's First Report of Injury or Disease: Form WC-1 and Form WC-2. Form WC-1 is used when reporting a workplace injury or illness, while Form WC-2 is used when reporting a death due to a workplace injury or illness.