Employer's First Report of Occupational Injury or Illness - Connecticut

Employer's First Report of Occupational Injury or Illness - Connecticut

Employer's Occupational Injury or Illness is a legal document that was released by the Connecticut Workers' Compensation Commission - a government authority operating within Connecticut.

FAQ

Q: What is an Employer's First Report of Occupational Injury or Illness?
A: The Employer's First Report of Occupational Injury or Illness is a form that employers in Connecticut must fill out when an employee experiences a work-related injury or illness.

Q: Who needs to fill out the Employer's First Report of Occupational Injury or Illness?
A: Employers in Connecticut are required to fill out the form when an employee experiences a work-related injury or illness.

Q: What information is required on the Employer's First Report of Occupational Injury or Illness?
A: The form requires information such as the employee's name, the date and time of the injury or illness, a description of the injury or illness, and the medical treatment provided.

Q: When should the Employer's First Report of Occupational Injury or Illness be filed?
A: The form should be filed within seven calendar days of the employer's knowledge of the injury or illness.

ADVERTISEMENT

Form Details:

  • Released on July 13, 2009;
  • The latest edition currently provided by the Connecticut Workers' Compensation Commission;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Connecticut Workers' Compensation Commission.

Download Employer's First Report of Occupational Injury or Illness - Connecticut

4.4 of 5 (40 votes)
  • Employers First Report of Occupational Injury or Illness - Connecticut, Page 1
ADVERTISEMENT

Related Documents