Workers Compensation Claim Kit - Hawaii - Berkshire Hathaway ... 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin with the BHHC Introductory Letter, which outlines the necessary steps for reporting a claim. Familiarize yourself with the contact information provided.
3. Complete the Employer's Notice of Insurance (Form 07-6120) by entering your designated insurer's name, policy period dates, and signing it with two witnesses.
4. Fill out the Employer Report of Occupational Injury or Illness (Form 07-6101) by providing all required details about the incident, including employee information and nature of injury.
5. For employees, complete the Employee Report of Occupational Injury or Illness (Form 07-6100) and ensure you sign it before submitting it to your employer.
6. Utilize our platform’s features to save your progress and easily share completed forms via email or fax as instructed in the kit.

Start using our platform today to streamline your Workers Compensation claims process effortlessly!