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Employer's First Report of Occupational Injury or Illness - Connecticut
Employer's Occupational Injury or Illness is a legal document that was released by the Connecticut Workers' Compensation Commission - a government authority operating within Connecticut.
FAQ
Q: What is an Employer's First Report of Occupational Injury or Illness?A: The Employer's First Report of Occupational Injury or Illness is a form that employers in Connecticut must fill out when an employee experiences a work-related injury or illness.
Q: Who needs to fill out the Employer's First Report of Occupational Injury or Illness?A: Employers in Connecticut are required to fill out the form when an employee experiences a work-related injury or illness.
Q: What information is required on the Employer's First Report of Occupational Injury or Illness?A: The form requires information such as the employee's name, the date and time of the injury or illness, a description of the injury or illness, and the medical treatment provided.
Q: When should the Employer's First Report of Occupational Injury or Illness be filed?A: The form should be filed within seven calendar days of the employer's knowledge of the injury or illness.
Form Details:
- Released on July 13, 2009;
- The latest edition currently provided by the Connecticut Workers' Compensation Commission;
- Ready to use and print;
- Easy to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Connecticut Workers' Compensation Commission.
