WebFORM IA-1(r 1-1-02) IAIABC 2002. EMPLOYER’S INSTRUCTIONS – cont’d . ALL EQUIPMENT, MATERIAL OR CHEMICALS EMPLOYEE WAS USING WHEN ACCIDENT OR ILLNESS EXPOSURE OCCURRED: (eg. Acetylene cutting torch, metal plate) List all of the equipment, materials, and/or chemicals the employee was using, applying, handling … WebWHEN TO FILE: This form must be filed within 10 days of knowledge of any alleged work-related injury or illness that results in more than 7 days of lost work. It must be filed even if the employer disputes the worker's claim of work-related injury or illness.
WORKERS COMPENSATION – FIRST REPORT OF INJURY OR …
WebIAIABC Claims Release 3 First Report of Injury Event Table . The First Report of Injury (FROI) Event Table is designed to provide information integral for a sender to understand the receiver’s EDI reporting requirements. ... Due-From). If the Event Rule Thru date is blank, reporting requirements apply until further notice. When a Paper Form(s ... Web©IAIABC 2002 . AWCC Form 1 (Employer's First Report of Injury or Illness) Ark. Code Ann. § 11-9-529 allows employers 10 days to report injuries. Those involving ... FORM IA-I(r 1 … buffalo cafe cumming ga
WORKERS COMPENSATION – FIRST REPORT OF INJURY OR …
WebFORM IA -1(r 1 -1-02) SEE BACK FOR IMPORTANT INFORM ATION ©IAIABC 2002 . Reverse - WC 9021 (1-02) UNIFORM INFORMATION SERVICES, INC. EMPLOYER'S … WebFORM IA-1(r 1-1-02) SEE BACK FOR IMPORTANT INFORMATION IAIABC 2002 General inquiries on Form 1 can be answered by the AWCC Support Services Division. Questions on a specific Form 1 may be directed to t he Research and Statist ics Section, which process es the accident reports. (1-800-6 22-4472 or 501-682-3930). Ark. Webform ia-1(r 1-1-02) see back for important information ©iaiabc 2002. reverse - wc 9021 (1-02) uniform information services, inc. employer's instructions do not enter data in shaded … criterion cssmi