Hurt Employees

What should I do if my employee gets sick or hurt on the job?

You must:

  • Provide a claim form (DWC-1) to them within one working day after the injury/illness is reported

  • Return a copy of the completed form to the employee within one working day of receipt

  • Provide the injured worker with a complete MPN employee notification and arrange for an initial evaluation with an MPN physician

  • Forward the claim form, along with your report of occupational injury or illness (form 5020), to the claims administrator within one working day

  • Provide light duty whenever appropriate

  • If the employee is the victim of a crime that happened at work, you must give notice of workers’ compensation eligibility within one working day of the crime.

For further assistance or more information, please contact us. 888-472-9001 or customerservice@peiwc.com .

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Kayla Bonsall