Saif Form 801 - Report of job injury or illness.
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Applications may also be submitted to. Office of the general counsel. Your employer should send it to its workers’ compensation insurance carrier within five days of. Web • complete form 801, “report of job injury or illness,” available from your employer and form 827, “workers’ and health care provider’s report for workers’ compensation. Web form.
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Fill out form 801 “report of job injury or illness” and turn it in to your employer. If you have more than. Web ask your employer to give you form 801, “report of job injury or illness,” complete the “worker” portion of the form, and give it back to your employer. If you do not.
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Web • complete form 801, “report of job injury or illness,” available from your employer and form 827, “workers’ and health care provider’s report for workers’ compensation. Web form 801 is your receipt that you gave notice of a claim. Your employer is required to submit your claim to its insurer within five days. Fill out form 801 “report of job injury or illness” and turn it in to your employer.
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Keep a copy as your record. If you do not intend to. To get started on the form, utilize the fill camp; If you do not intend to file a workers’ compensation claim.