Reporting A Claim
Workers' compensation claims
should be reported to the Office of Workers' Compensation within one business
day of the accident.
The forms (in PDF format) required are as follows:
The Employer's Report of Occupational Injury or Disease and Additional
Injury Report Information must be completed by a supervisor or departmental
designee. These forms cannot be completed by the injured employee.
Forms 1, 2, and 3 should be faxed to the Office of Workers' Compensation:
412-624-1817.
|
