The Department of Labor and Industry published the following illustration. It does a fairly good job of showing some parts of the workers’ compensation “maze.” Click on the links and you will be directed to a the DOLI website.

Injured on the job        
arrow graphic        
Notify employer arrow graphic Employer completes FROI form
arrow graphic        
Seek medical attention arrow graphic Make HCP aware this is a work comp injury arrow graphic Get Report of Work Ability form
arrow graphic        
Lost time from work?        
arrow graphic arrow graphic      
Learn moreFAQs
Suggestions for:
successful
   doctor visit;
communicating
   with insurance
   adjuster;
communicating
   with employer
No Yes      
arrow graphic arrow graphic      
Return to work Waiting period  
arrow graphic      
Insurer files NOPLD form    
arrow graphic   arrow graphic    
  Claim denied arrow graphic    
    Claim accepted  
  arrow graphic   arrow graphic   arrow graphic
Wage-loss benefits Medical benefits Rehabilitation benefits

arrow graphic arrow graphic arrow graphic
Return to work

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