The Claims Process-The First Steps - Workers' Compensation Board 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the 'Name of Injured Person' and 'Department' in the designated fields. Ensure accuracy as this information is crucial for processing your claim.
3. Fill in the 'Location' and 'Date of Injury'. These details help establish where and when the incident occurred, which is essential for your report.
4. Provide the 'Supervisor Phone #' and specify whether the injury occurred in the morning or afternoon by selecting a.m. or p.m.
5. Describe the 'Cause of Injury' and detail what you were doing at the time of injury. Be specific about what was injured, noting left or right if applicable.
6. Indicate if you reported the accident immediately, including any reasons for delays, and to whom you reported it.
7. If applicable, provide details about any medical consultations by filling in the 'Name and Address of Doctor'.
8. Complete witness information by entering their name and phone number, along with your supervisor's details.
9. Finally, ensure both you and your supervisor sign and date the form before distribution as outlined.

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