Occupational Accidents, Illnesses, and Reports

Accident Investigation

HR - Supervisor Guide for Employees on Workers Compensation

 

Accident Report Forms

• First Report of Injury

  Employee Statement Form - (Workers' Compensation Employee Statement form)

• Workers' Compensation Form 19 - (Employer's Report of Employees Injury... form)

• Leave Options Form - (Workers' Compensation Use of Leave Options form)
  

• WC Authorization | Physician's Report | Pharmacy Guide - (CORVEL Workers' Compensation form)

Reference Tools:

• Accident Report Form Flowchart
  
  
• Post-Accident Checklist
  
  
• Approved Medical Facilities (Raleigh area  Kannopolis area)