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WORKERS COMPENSATION FIRST REPORT OF INJURY

  • First Report of Injury

    Please note that you should return this form or a copy of your own injury report form without the need for a completed claim form or medical certificates within 3 days of becoming aware of a work injury that may result in a claim or incapacity to the worker.

    However, we would request that you forward this additional information within 3 days of receiving the completed claim form from the worker.

  • Workers Details

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