Employees Claim For Compensation Report Of Initial Treatment {C-4}

FORM C-4 - EMPLOYEE’S CLAIM FOR COMPENSATION/REPORT OF INITIAL TREATMENT. This form is used in the context of workers' compensation claims. It is employed by an employee who has sustained an injury or occupational disease while on the job. The form collects detailed information about the employee, the nature of the injury, how the injury occurred, and the medical treatment received. The form also includes sections for the healthcare provider to provide a diagnosis, treatment information, and recommendations for further medical care or work restrictions. The completed form is used to initiate a workers' compensation claim and is a crucial document in the process of obtaining benefits under the relevant workers' compensation laws. www.FormsWorkflow.com