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Dwc-1 2024 Form: What You Should Know

Workplace Health and Safety Information β€”Β MISS Request a copy of the MISS Report. All applicants are required to provide a copy of their Medical Record. You can view the report online, by mail, or in person at the Medical Examiner (PE) located in each City Division. Workplace Health and Safety Information β€” MISS Workers' compensation is covered by the Workers' Compensation Act. There are two types of compensation available for injuries and a wide variety of claims that can be made: Accident Benefits β€” the insured worker will be paid a dollar-for-dollar benefit that will either: β€” Equal or reduce the benefits received from a workers' compensation award; β€” Accrue over a minimum of 6 months; if it is the first work-related injury, if the injured worker has worked more than 6 consecutive months before the accident; if it is second or subsequent injury, 6 consecutive semesters; or if it is one subsequent injury that involves serious impairment to body function, 1 day of incapacity for work. Workers' Compensation Claims β€” A worker may file a claim in the case of: β€” Work-related injuries resulting from negligence or gross negligence; β€” Illness resulting from illness, disease, or injury that is not directly associated with the performance of their work. The Workers' Compensation Board determines claim amounts based on the maximum dollar amount of compensation awarded. To file a claim, click the links below or visit the following website Workers' Compensation Claim Document β€’ Medical Certificate β€’ Work Related Injuries Report β€’ Medical Report (DWC Form-013) Workers' Compensation Workplace Health and Safety Information β€” MISS Workers' Compensation Claims β€” Work Injury Report β€” Workplace Health and Safety (MISS) (2/2020) Workplace Health and Safety Information β€” MISS Workers' Compensation Workplace Hazard Information System MISS Report Workplace Health and Safety Information β€” MISS Workers' Compensation Workplace Hazard Information System (2/2020) Medical Certification In order to receive a Worker's Compensation certificate, an injury in the course of employment must be registered by the employer. The Worker's Compensation Board administers the certification process by reviewing the employer's Certificate of Insurance (COI) to assure that the insurance policy will provide funds for the benefits of the injured worker.

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