Workers Compensation Tab
Use this tab to record detailed information about your workers' compensation insurance carrier.
Update this tab whenever an employee has been injured in a work-related accident or reports an illness due to working conditions.
Contents
Field | Description |
---|---|
Workers' Comp |
Enter, or use
|
Policy Number |
Enter, or use
|
Expiration Date |
Enter the date, in MM/DD/YYYY format, on which your workers' compensation insurance policy expires. This is an optional field. |
Reason Code |
Enter, or use
|
Filing Number |
Enter the filing number that the state Workers' Compensation Office has assigned to this claim. This is an optional field. Update this subtask whenever an employee has been injured in a work-related accident or reports an illness due to working conditions. |
Insurance Company
Field | Description |
---|---|
Insurer's Name |
Enter the name of the company providing workers' compensation insurance. This is an optional field. |
Address |
Enter the street portion of the insurer's address. This is an optional field. |
City |
Enter the city portion of the insurer's address. This is an optional field. |
State/Province |
Enter, or use
|
Postal Code |
Enter the zip code or foreign postal code portion of the insurer's address. This is an optional field. |
Worker's Comp Code |
Enter, or use
|
Insurer's Name |
Enter the name of the company providing workers' compensation insurance. This is an optional field. |
Address |
Enter the street portion of the insurer's address. This is an optional field. |
City |
Enter the city portion of the insurer's address. This is an optional field. |
State/Province |
Enter, or use
|
Postal Code |
Enter the zip code or foreign postal code portion of the insurer's address. This is an optional field. |
Policy Number |
Enter, or use
|
Expiration Date |
Enter the date, in MM/DD/YYYY format, on which your workers' compensation insurance policy expires. This is an optional field. |
Reason Code |
Enter, or use
|
Filing Number |
Enter the filing number that the state Workers' Compensation Office has assigned to this claim. This is an optional field. |