Where do I get the First Report of Injury or Fatality – Form 101 I need to file?
DIA forms can be obtained either from your insurance company or from the DIA. With the exceptions of three (3) forms, all DIA forms can be filled out and then printed directly from our website. You should ensure that your company has an adequate supply on hand at your place of business; it may be too late to get the forms once an accident takes place. All DIA forms are on plain white paper, and can be photocopied. Please Note: All DIA forms can be photocopied. All forms filed by US mail to the DIA require an original signature.
DIA forms can be obtained either from your insurance company or from the DIA. With the exceptions of three (3) forms, all DIA forms can be filled out and then printed directly from our website. You should ensure that your company has an adequate supply on hand at your place of business; it may be too late to get the forms once an accident takes place. All DIA forms are on plain white paper, and can be photocopied. Please Note: All forms filed by US mail to the DIA require an original signature.
Related Questions
- An employee of mine was injured on the job and then quit; do I need to file an Employers First Report of Injury Or Fatality - Form 101, and if so, how do I determine the first and fifth lost days?
- Where do I get the First Report of Injury or Fatality - Form 101 I need to file?
- Can I file First Report of Injury or Fatality - Form 101 electronically?
