Employers First Notice Of Accidental Injury And Claim For Compensation {3}

FORM 3 Send original and 4 copies to: Court of Existing Claims Name of Claimant (Injured Employee) Name of Employer Court Use Only COURT OF EXISTING CLAIMS 1915 NORTH STILES, STE 127 OKLAHOMA CITY, OK 73105-4918 Please check appropriate box I. Original Filing II. Amends Previously Filed Form 3. Must clearly state whether amendment is in addition to, or substitute for, prior information.) THIS SPACE FOR COURT USE ONLY EMPLOYEE'S FIRST NOTICE OF ACCIDENTAL INJURY AND CLAIM FOR COMPENSATION NOTE: Mediation is available to address certain workers' compensation disputes. For information, call (918) 581-2714. WCC FILE NO. (Please type or print) EMPLOYEE NAME (Last, First, Middle): Mailing Address (include City, State & Zip): Occupation: Was your employment agreement in Oklahoma? YES NO Injury resulted from: Single Incident Describe parts of the body injured or affected What is the nature of the Injury or Illness: Social Security #: Date of Birth: Avg. Weekly Wage: Age: Phone: ( ) Sex: Length of Employment years _____________ months _________ Time Injury Occurred __________________ Date of Accident, or as applicable, Date of Termination From Employment if a Cumulative Trauma Injury: Cumulative Trauma AM PM Place of Injury: City/County/State Describe with details how the injury occurred. Include object or substance which directly injured you: Are you eligible for Medicare Benefits or will you become eligible for Medicare Benefits within 30 months of the filing of this Notice of Accidental Injury and Claim for Compensation? YES Have you filed a claim for Social Security Disability Insurance Benefits? YES NO NO Are you a previously impaired person due to a prior workers' compensation injury or obvious and apparent pre-existing disability? _______ If "YES", you may be entitled to benefits for combined disabilities against the Multiple Injury Trust Fund. A claim against the Multiple Injury Trust Fund may be commenced by filing a "Form 3F" with the Court of Existing Claims. Treating Physician (full name): Employer: Complete Mailing Address: Complete Street Address (if different from above): Address: City: Employer's FEI # (Federal ID Number): City: City: State: Zip: Telephone: State: State: Zip: Zip: Any person receiving temporary disability benefits from an employer or the employer's insurance carrier shall within seven (7) days report in writing to the employer or insurance carrier any change in a material fact or the amount of income the employee is receiving or any change in the employee's employment status, occurring during the period of receipt of such benefits. Any person who commits workers' compensation fraud, upon conviction, shall be guilty of a felony. Upon filing this Notice of Accidental Injury And Claim For Compensation, permission is given to the Administrator of the Court of Existing Claims, the Insurance Commissioner, the Attorney General, a District Attorney or their designees to examine all records relating to the notice, any matter contained in the notice, and any matter relating to the notice. The permission granted to the above persons authorizes them access to medical records pursuant to 76 O.S., §19, including waiver of any privilege granted by law concerning communications made to a physician or health care provider or knowledge obtained by such physician or health care provider by personal examination. This form is not intended for use as a medical authorization. Nothing shall be construed to waive, limit or impair any evidentiary privilege recognized by law. I declare under penalty of perjury that I have examined this notice and claim for compensation and all statements contained herein are true, correct and complete to the best of my knowledge and belief. Signed this _______________ day of _________________________ , ________ Name of claimant's attorney if represented: Type or Print Name of Attorney: Mailing Address: City Telephone #: ( ) State Zip OBA# Signature of Attorney for Claimant American LegalNet, Inc. www.FormsWorkFlow.com Signature of Claimant (must be signed by claimant) Rev. 06/24/2015