Resource Guide

Introduction

Part 1: The Workers' Compensation Process

Part 2: Special Issues In Workers' Compensation

HOW DO I FILE A WORKERS' COMPENSATION CLAIM?

Both employees and employers are responsible for notifying the Workers' Compensation Board when an accident or occupational disease causes an employee to be injured. You should not assume that your employer will take all the necessary steps to file a claim for you. You should always contact your attorneys about filing your own claim. The methods and forms to be used for claim filing are discussed below.

Employer's Report of Injury - Workers' Compensation Form C-2

Employers are required to report employee injuries to the Workers' Compensation Board if the injury will result in lost time or require treatment beyond normal first aid or more than two treatments overall. The employer meets these requirements by filing a Form C-2 within ten (10) days of receiving notice of the injury. The employer is required to maintain a copy the C-2 form for 18 years.

Employee's Claim for Compensation - Workers' Compensation Form C-3

A Form C-3 is completed by the injured worker and filed with the Workers' Compensation Board. This form provides the Board with the basic information about the claim. Upon receipt of a C-3 the Board will assign a case number to the claim.

Attending Doctor's Report and Carrier/Employer Billing Form - Workers' Compensation Form C-4

You cannot prove a Workers' Compensation claim without medical reports. It is very important therefore that your doctor provide timely and accurate reports of your condition. Doctors reports must be filed with a Workers' Compensation Board Form C-4. A C-4 Form should be submitted to the Workers' Compensation Board, and your employer's insurance company, within 48 hours of your first treatment. Follow-up reports should be submitted at regular intervals thereafter. While you are out of work and claiming benefits you should see your doctor at least every month and a half. Please be certain to notify your doctor of all pertinent information about your claim including your case number and our address. The time you spend helping your doctor will help you greatly in the long term.

Copies of Forms C-2, C-3 and C-4 are found in your Lewis & Lewis folder. You can obtain these forms from our office or the Workers' Compensation Board.