Oklahoma Required Postings and Forms
Please print and post the following notices, both in English and Spanish, in a conspicuous location frequented by employees such as the break room, lunch room or time clock. If you have multiple office locations, be sure to post the notices at each location.
- Form 1A Oklahoma Workers’ Compensation Notice and Instructions to Employers and Employees (English and Spanish).
The following forms need to be completed and submitted to EMPLOYERS when a work-related injury occurs:
- Form 2 Employer's First Report of Injury. As soon as you have been notified of a work-related injury, please fill out this form and provide the original to the Workers’ Compensation Court and a copy to EMPLOYERS. This form must be filed with the Workers’ Compensation Court and sent to EMPLOYERS within 10 days of notice that an employee has suffered a work-related injury or illness that results in lost time beyond the shift, or requires medical attention away from the work-site, fatal or otherwise.
- Wage Statement. This form enables us to calculate the correct compensation that may be owed to your injured employee. Please complete the form and submit it to EMPLOYERS within 10 days after your knowledge of any work-related injury or illness that has caused your employee to be disabled for more than three calendar days.
- First Fill Form. This form provides your employees with basic information about our Pharmacy Benefit Program, including such things as the phone number to call to locate a First Fill participating pharmacy. When your employee becomes injured, please print and complete this form and provide it to your injured employee. Your employee will need to provide this completed form along with the prescription for his/her work-related injury or illness to the pharmacist. Using this form will help enable quick authorization for your employee’s initial medication and ensure that the initial prescription is provided at no cost to the injured employee.
- Accident Investigation Report. This basic accident form should be completed by the employee’s supervisor/manager as soon after the accident as possible. Please send the report to the following EMPLOYERS address as soon as it has been completed by the supervisor/manager: EMPLOYERS Claim Department, P.O. Box 32036, Lakeland, FL 33802-2036. You should keep a copy on file for your records.
- Off-Site Transitional Duty Program - Helping Your Injured Employees Get Back to Work
A successful transition back to work relies on the collaborative efforts of the manager/supervisor, the injured employee and their adjuster. As a manager/supervisor, learn what you can do to help facilitate a successful return to work.