First Report Of Injury
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EFFECTIVE USE OF INITIAL BUREAU OF WORKER'S
COMPENSATION FORMS
A.
Employer Report of Industrial Injury – LIBC-344
1. The Employer Report of Industrial Injury must be filed with
the Bureau of Workers' Compensation, whenever the
employee is absent for work for one work shift or longer.
2. The report of injury must be filed with the Bureau, within
forty-eight (48) hours of Injury, resulting in death or within
three (3) days after the date of injury. §438.
3. The insurer must file the Employer Report of Injury with the
Bureau of Workers' Compensation and with its worker
compensation Insurer. §438, 77 P.S. §256. It is customary
to provide the employee a copy of the report.
4. The Employer's Report of Injury is not admissible as
evidence against the Employer or Insurer in any worker
compensation proceeding. §438.
5. The employer may record employee's version of events
and note any disputed circumstances, i.e., "employee
alleges," "employee asserts.”
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Parent category: Legal