Physician's Report of Worker's Compensation Injury - Delaware

Physician's Report of Worker's Compensation Injury - Delaware

Physician's Report of Worker's Compensation Injury is a legal document that was released by the Delaware Department of Human Resources - a government authority operating within Delaware.

FAQ

Q: What is a Physician's Report of Worker's Compensation Injury?
A: A Physician's Report of Worker's Compensation Injury is a document that a physician fills out to report an injury sustained by a worker that is eligible for workers' compensation in Delaware.

Q: What information is typically included in a Physician's Report of Worker's Compensation Injury?
A: The report usually includes details about the worker's injury, the medical treatment provided, the potential impact on the worker's ability to work, and other relevant medical information.

Q: Why is a Physician's Report of Worker's Compensation Injury important?
A: This report is important because it helps determine the worker's eligibility for workers' compensation benefits and provides documentation of the injury and medical treatment for the purposes of the claim.

Q: Who is responsible for filling out the Physician's Report of Worker's Compensation Injury?
A: The physician who treated the worker for the work-related injury is responsible for filling out this report.

ADVERTISEMENT

Form Details:

  • Released on March 1, 2011;
  • The latest edition currently provided by the Delaware Department of Human Resources;
  • 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 Delaware Department of Human Resources.

Download Physician's Report of Worker's Compensation Injury - Delaware

4.7 of 5 (9 votes)
  • Physician's Report of Worker's Compensation Injury - Delaware

    1

  • Physician's Report of Worker's Compensation Injury - Delaware, Page 2

    2

  • Physicians Report of Workers Compensation Injury - Delaware, Page 1
  • Physicians Report of Workers Compensation Injury - Delaware, Page 2
Prev 1 2 Next
ADVERTISEMENT

Related Documents