801


801 :

The Report of Occupational Injury or Disease, informally known as an "801" or "injury report". Employers are responsible for sending this form to their insurance carriers (or, if self-insured, to their claims administrator), within five days of their knowledge of a claim to notify their carrier of a job-related injury. SAIF also has an 801S claim form, which is designed to help your Spanish-speaking employees communicate the details of their injury to us. The injured worker can complete the top portion of the form in Spanish

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