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Form WC 1 Employers First Report of Injury. All injuries or occupational diseases that result in lost time from work in excess of three shifts or calendar days or from permanent physical impairment must be reported to EMPLOYERS on this form within 10 days after notice or knowledge of the injury or disease.
The statute of limitations for a workers compensation claim or the maximum time after an event that legal action can be initiated is 2 years in most cases. The only way for this deadline NOT to apply to you is to file a claim with the DOWC.
Form WC 1 Employers First Report of Injury. All injuries or occupational diseases that result in lost time from work in excess of three shifts or calendar days or from permanent physical impairment must be reported to EMPLOYERS on this form within 10 days after notice or knowledge of the injury or disease.
Failure to report within 10 working days may result in a penalty against the injured workers benefits. Injured workers are also encouraged to report their injured directly to the Division of Workers Compensation using the Workers Claim for Compensation form (WC 15).
How are we doing? Within 10 working days of your injury, you should let your employer know about the injury. This must be done in writing. If you were injured more than 10 days ago, you should still notify your employer in writing as soon as possible.
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If its an emergency, call 911 or go to an emergency room right away. Tell the medical staff that your injury or illness is job-related. If you can safely do so, contact your employer for further instructions. If you dont need emergency treatment, make sure you get first aid and see a doctor if necessary.
A report must be received within 10 days of the incident. Find out more from the Health and Safety Executive (HSE) about what you must report.
File a Claim File a Workers Claim for Compensation (WC 15) with the Division within two years of your injury.

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