Henderson Brothers Insurance Agency

Workers'
Compensation Claim

What to do in the event of a of a work injury:

• If your employee reports a work injury, assess the need for immediate medical care.
  
  
• If immediate medical treatment is needed, call an ambulance or transport the employee to the nearest emergency room.
  
  
• In non-emergency situations, refer the employee to your panel of doctors which should be posted at your facility.
  
  
• Have your employee sign an Employee Acknowledgement of Rights and Duties.
  
  
• Secure information to complete the Employer’s Report of Injury or Illness form.
  
  
• Request that the employee keep you advised of his/her status.
  
  
• Conduct an internal investigation to determine the cause of the work injury.
  
  
• Identify any witnesses.
  
  
• Report the claim to Henderson Brothers by faxing the Employer’s Report of Injury or Illness to (412) 325-0611, to the attention of the Claims Department