Form OIC-WC-1 Employees' and Physicians' Report of Occupational Injury or Disease - West Virginia

Form OIC-WC-1 Employees' and Physicians' Report of Occupational Injury or Disease - West Virginia

What Is Form OIC-WC-1?

This is a legal form that was released by the West Virginia Department of Transportation - a government authority operating within West Virginia. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the OIC-WC-1 form?
A: The OIC-WC-1 form is the Employees' and Physicians' Report of Occupational Injury or Disease.

Q: What is the purpose of the OIC-WC-1 form?
A: The purpose of the OIC-WC-1 form is to report occupational injuries or diseases.

Q: Who needs to complete the OIC-WC-1 form?
A: Both employees and physicians need to complete the OIC-WC-1 form.

Q: What does the OIC-WC-1 form contain?
A: The OIC-WC-1 form contains information about the occupational injury or disease, including details about the employee and the incident.

Q: Is the OIC-WC-1 form specific to West Virginia?
A: Yes, the OIC-WC-1 form is specific to West Virginia.

Q: What should I do with the completed OIC-WC-1 form?
A: You should submit the completed OIC-WC-1 form to your employer or the workers' compensation insurance carrier.

Q: Do I need to keep a copy of the OIC-WC-1 form?
A: It is recommended to keep a copy of the OIC-WC-1 form for your records.

Q: Can I use the OIC-WC-1 form for non-occupational injuries or diseases?
A: No, the OIC-WC-1 form is specifically for occupational injuries or diseases.

Q: Are there any deadlines for submitting the OIC-WC-1 form?
A: Yes, the OIC-WC-1 form should be submitted as soon as possible after the injury or disease occurs, preferably within 6 months.

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Form Details:

  • The latest edition provided by the West Virginia Department of Transportation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form OIC-WC-1 by clicking the link below or browse more documents and templates provided by the West Virginia Department of Transportation.

Download Form OIC-WC-1 Employees' and Physicians' Report of Occupational Injury or Disease - West Virginia

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  • Form OIC-WC-1 Employees and Physicians Report of Occupational Injury or Disease - West Virginia, Page 1
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