Employers' Guide To Workers' Compensation Insurance In Washington State Page 21
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40Chapter 6:
If an Injury or
Illness Occurs
Filing an Accident Report
What the attending health-care
provider must do
If a job-related injury or illness occurs, you and
ƒ
your employees have certain legal responsibilities.
The attending health-care provider also
fills in a section of the Report of Accident.
The provider must supply information such
What the injured worker must do
as the diagnosis and treatment given and
ƒ
Report the injury or exposure and how
provide an estimate of how many days your
it happened to a supervisor as soon as
employee will be unable to work. Attending
possible. Even minor injuries should be
providers are responsible for submitting the
reported, but failure to report will not cause
Report of Accident to L&I.
rejection of a claim.
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Upon receiving the Report of Accident, L&I mails
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If medical attention is required, tell the
a letter and Employer Report of Industrial Injury
treating health-care provider the injury
or Occupational Disease form to you. It serves as
is job-related. The provider will help
your official notice that a claim for benefits has
the worker complete a Report of Accident
been filed by one of your employees.
(Workplace Injury, Accident or Occupational
Disease), which begins the claim process.
What the employer must do
This form, also called Report of Accident or
ƒ
ROA, must be filed with L&I within one
Make sure your employee immediately
year of the date of injury.
obtains required medical care from the
doctor or hospital of his or her choice.
ƒ
File a claim online at
Injured workers must choose a health-care
to expedite the process, or by phone at
provider who is part of the L&I Medical
1-877-561-FILE (3453). Answer all questions on
Provider Network.
the worker’s section of the Report of Accident to
avoid a possible delay in benefit payments.
They may see a non-network provider for
the initial visit, but for additional or ongoing
ƒ
For occupational diseases or illnesses, such
care, they will need to transfer to a network
as carpal tunnel syndrome, noise-induced
provider. You can help your employee find a
hearing loss, occupational dermatitis and
network provider in our online directory at
occupational asthma, the Report of Accident
.
(Workplace Injury, Accident or Occupational
Disease) must be filed within two years of
Note: Out-of-state providers are not required
receiving written notice from a doctor that
to be in the network.
the condition exists and is work-related.
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Provide transportation or emergency
ambulance service, if needed. L&I will
reimburse for these transportation costs
upon written request.
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