WHAT IS A FORM 19?
Your employer is required to report an injury to their Workers' Compensation insurance carrier for an injury sustained in the course of employment where the attention of a physician is needed or actually sought.
If an injury or alleged injury causes the employee to be absent from work for more than one day, or the employee's medical expenses are greater than $2000.00, the employer or carrier must file with the Industrial Commission a Form 19 “Employer's Report of Employee's Injury to the Industrial Commission” within five days of learning of the injury or allegation.
If a Form 19 is filed with the Industrial Commission, the employer or carrier must provide a copy of the Form 19 to the employee, together with a blank Form 18 “Notice of Accident to Employer and Claim of Employee” for use by the employee.
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