Form 201 Notice of Employee's Injury or Death

What Is Form 201?

This is a legal form that was released by the U.S. Department of Labor on April 1, 2009 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form 201?
A: Form 201 is a Notice of Employee's Injury or Death form.

Q: When should Form 201 be used?
A: Form 201 should be used when an employee is injured or dies on the job.

Q: Who needs to fill out Form 201?
A: The employer or the employer's representative needs to fill out Form 201.

Q: What information is required on Form 201?
A: Form 201 requires information such as the employee's name, date of injury or death, and description of the incident.

Q: Is Form 201 mandatory?
A: Yes, Form 201 is mandatory for reporting work-related injuries or deaths.

Q: Are there any deadlines for submitting Form 201?
A: Yes, there are specific deadlines for submitting Form 201. Please check with your state's workers' compensation board for the deadlines.

Q: What should an employee do if they are injured on the job?
A: An employee should inform their employer of the injury as soon as possible and seek necessary medical attention.

Q: What should an employer do if an employee is injured on the job?
A: An employer should provide the employee with the necessary forms, including Form 201, and assist them in reporting the injury to the workers' compensation board.