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Employer Responsibilities Once a small business owner is notified of a potentially work-related injury or illness, they should provide the employee the DWC 1 claim form. The employer should fill out their part of the form and send the completed form to the insurance company.
CA-1 - Federal Employees Notice of Traumatic Injury and Claim for Continuation of Pay/Compensation. Use for traumatic injury - employee was hurt because of a single event or within one workday. CA-2 - Notice of Occupational Disease and Claim for Compensation.
If you get hurt on the job, your employer is required by law to pay for workers compensation benefits. You could get hurt by: One event at work. Examples: hurting your back in a fall, getting burned by a chemical that splashes on your skin, getting hurt in a car accident while making deliveries.
A DWC 1 is the form that is filled out to report an injury to your employer, and officially initiate a workers compensation claim. DWC stands for Division of Workers Compensation, this is the government agency that monitors workers compensation claims and law.
Request an Employees Claim for Workers Compensation Benefits form from your supervisor (its also known as a DWC 1 form). Your employer must give or mail you a claim form within one working day after learning about your injury or illness.

People also ask

Youll need workers comp if you have three or more employees, or one employee working more than 35 hours per week for 13 weeks or longer. Both public and private employers need Michigan workers compensation coverage.
The Division of Workers Compensation (DWC) monitors the administration of workers compensation claims, and provides administrative and judicial services to assist in resolving disputes that arise in connection with claims for workers compensation benefits.
Every physician who treats an injured employee must file a complete Form 5021 Doctors First Report of Occupational Illness or Injury (DFR) with the employers claims administrator within five days of the initial examination.

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