Montana first report injury 2026

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  1. Click ‘Get Form’ to open the Montana First Report Injury in the editor.
  2. Begin by filling in the worker's personal information, including last name, first name, middle initial, mailing address, phone number, date of birth, and social security number. Ensure accuracy as this information is crucial for processing.
  3. Next, provide details about the worker's employment status. Indicate whether they are full-time or part-time and include their gross earnings for the four pay periods preceding the injury.
  4. In the accident description section, clearly describe the nature of the injury and its cause. Include specific details such as job title and any witnesses present during the incident.
  5. Complete the medical section by entering the attending physician’s name and contact information. Specify if any initial medical treatment was received.
  6. Finally, ensure that all signatures are obtained where required. The injured worker must sign to authorize release of relevant records.

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