01. Edit your mn first report of injury online
Type text, add images, blackout confidential details, add comments, highlights and more.
Minnesota report injury 2026
Here's how it works
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
Send editable first report of injury mn via email, link, or fax. You can also download it, export it or print it out.
How to use or fill out Minnesota Report Injury with our platform
Ease of Setup
DocHub User Ratings on G2
Ease of Use
DocHub User Ratings on G2
- Click ‘Get Form’ to open the Minnesota Report of Injury in the editor.
- Begin by entering the employee's Social Security number and OSHA case number in the designated fields.
- Fill in the date of the claimed injury and the time it occurred, ensuring you use the MM/DD/YYYY format.
- Provide details about the employee, including their name, gender, marital status, home address, phone number, date of birth, and occupation.
- In section 22, describe how the injury occurred. Be specific about what the employee was doing at that time.
- Complete sections regarding medical treatment and employer information. Ensure all required fields are filled accurately.
- Review all entries for accuracy before submitting. Use our platform’s features to save your progress or make edits as needed.
Start filling out your Minnesota Report Injury form online for free today!
See more mn first report of injury versions
We've got more versions of the mn first report of injury form. Select the right mn first report of injury version from the list and start editing it straight away!
Security and compliance
At DocHub, your data security is our priority. We follow HIPAA, SOC2, GDPR, and other standards, so you can work on your documents with confidence.
1st report of injury form mn fillable
The claim can be reported initially to the Department by telephone (651-284-5041), fax (651-284-5731), or personal notice.
Employees must report work-related injuries/illnesses must submit the First Report of Injury within 8 business hours (1 work day). 612-624-5884 orm@umn.edu