EMPLOYEE’S REPORTING OF AN ACCIDENT / OCCUPATIONAL DISEASE

OPTION 1

COIDA Forms

📄 Claim Registration Forms
📝 Questionnaires & Supporting Documents
🩺 Medical Forms
✋ Special Injury Reports
👤 Employee Forms
👷 Employer Forms
💰 Compensation & Appeals

OPTION 2

(1) INJURY ON DUTY / OCCUPATIONAL DISEASE

REPORT THE INJURY / DISEASE

Employee reports the injury to supervisor, manager, HR or employer as soon as possible (preferably within 24 hours)
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(2) EMPLOYER OPENS CASE FILE

(2) EMPLOYER OPENS CASE FILE

Complete / gather initial forms and documents to open case file. Record all aspects regarding the incident. Issue W.CL.1 or W.CL.2.
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(3) EMPLOYEE RECEIVES MEDICAL TREATMENT

EMPLOYEE RECEIVES MEDICAL TREATMENT

Employer provides immediate medical treatment (if applicable) | Employee is referred to a doctor, clinic or hospital.
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(5) COMPENSATION FUND REGISTERS CLAIM

COMPENSATION FUND REGISTERS CLAIM

Workmen’s Compensation Commissioner reviews and process claims according to COIDA
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(4) EMPLOYER REPORTS THE INCIDENT

EMPLOYER REPORTS THE INCIDENT TO WCA

Employer must report the IOD and submit the required documents within the legal timeframes | 7 Days for workplace injuries | 14 days for occupational diseases
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(8) CLAIM FINALISED / CASE CLOSED

CLAIM FINALISED / CASE CLOSED

Employee received medical care and benefits as provided for in COIDA.
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COIDA Forms

📄 Claim Registration Forms
📝 Questionnaires & Supporting Documents
🩺 Medical Forms
✋ Special Injury Reports
👤 Employee Forms
👷 Employer Forms
💰 Compensation & Appeals

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