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Instructions for Form IAIABC IA-1 First Report of Injury or Illness - Mississippi
This document contains official instructions for Form IAIABC IA-1 , First Report of Injury or Illness - a form released and collected by the Mississippi Workers' Compensation Commission.
FAQ
Q: What is Form IAIABC IA-1?
A: Form IAIABC IA-1 is the First Report of Injury or Illness.
Q: Who is required to fill out Form IAIABC IA-1 in Mississippi?
A: Employers are responsible for completing Form IAIABC IA-1 if an employee gets injured or becomes ill on the job.
Q: What information is needed to complete Form IAIABC IA-1?
A: Form IAIABC IA-1 requires details about the injured/ill employee, the date and location of the incident, the nature of the injury/illness, and the employer's information.
Q: Is Form IAIABC IA-1 only for work-related injuries?
A: Yes, Form IAIABC IA-1 should only be used for reporting injuries or illnesses that occurred on the job.
Q: When should Form IAIABC IA-1 be submitted?
A: Form IAIABC IA-1 should be submitted to the Mississippi Workers' Compensation Commission within 10 days of the injury or illness.
Instruction Details:
- This 1-page document is available for download in PDF;
- Actual and applicable for the current year;
- Complete, printable, and free.
Download your copy of the instructions by clicking the link below or browse hundreds of other forms in our library of forms released by the Mississippi Workers' Compensation Commission.
