Employers Workers Comp Claim Form. The customer service representative will ask the questions needed to complete the form. DWC-1 Workers Compensation Claim Form.
Delayed filing can jeopardize a claim investigation increase the cost of the. Call BWC at 1-800-644-6292 from 730 am. Jun 30 2020 Be aware that mailing a claim form can slow down the processing time.
The form employers should complete after a worker completes a workers injury claim form.
This form of notice is prescribed by the NJ Commissioner of Insurance and must be clearly printed on a minimum of 90 index 85 by 11 in size. This form must be completed and provided to EMPLOYERS within one working day from you becoming aware of a work-related injury or occupational disease. WCB Online Services Workers. Workers Compensation Insurance Notice Poster Form 16 NJ A.
