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What Forms Should Be Completed After a Work Injury?

After a work injury, there are specific forms that must be completed to start the workers’ compensation process.

This can be confusing for many injured workers, so we wanted to provide a brief overview of what these forms are and what they entail. Keep in mind, that this is not an exhaustive list but should give you a general idea of what to expect. If you have any questions about the forms or the process in general, please do not hesitate to contact our experienced St. Louis work injury lawyers.

work injury claim form

Notice of Injury or Illness

The first form you will need to complete is the Notice of Injury or Illness. This form needs to be completed as soon as possible after the injury or illness occurs. You will need to provide basic information about yourself and the incident, including your contact information, a description of the injury/illness, and when it occurred. You may also need to indicate whether you plan to file a workers’ comp claim. Once you have completed the form, you will generally submit it to your employer.

Employer’s Report of Injury or Illness

The next form is the Employer’s Report of Injury or Illness. This form is filled out by the employer, and it provides basic information about the company, the injured worker, and the incident. The employer will need to provide their contact information, as well as the injured worker’s name, job title, and date of hire. They will also need to describe the injury or illness and provide the date it occurred. The employer will then need to indicate whether they plan to file a workers’ comp claim.

First Report of Injury

This form should generally be filed within five days of the injury or illness. It provides more detailed information about the incident, including the date of injury, type of injury or illness, and treatment received. You will also need to provide information about your employment status (e.g., full-time, part-time, temporary, etc.), as well as your employer’s contact information.

Medical Report

The Medical Report is completed by the treating physician, and it provides information about your diagnosis, prognosis, and treatment plan. The doctor will need to provide their contact information, as well as your name and date of birth. They will also need to describe the injury or illness, provide the date of diagnosis, and indicate whether you are able to return to work.

These are just a few of the forms that may need to be completed after a work injury. If you have been injured on the job, our experienced St. Louis workers comp attorneys can help you navigate the workers’ comp process and fight to ensure that you receive the benefits you are legally entitled to.

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Updated: April 19, 2022