Each employee is responsible for immediately reporting to their Supervisor that they have injured themselves while working.
For emergencies, please call 911 for immediate treatment then contact Company Nurse following treatment.
For non-emergencies, the employee/supervisor calls Company Nurse at 1-877-778-2576 before the employee leaves the premises. Company Nurse will determine the following:
If the employee seeks medical treatment, they are required to return a copy of the Work Status Slip to the Member Contact with a copy to NBSIA. This slip will confirm the appropriate release: Full Duty, Modified Duty, and Temporarily Disabled.
Upon receipt of the Employer’s Report of Injury, NBSIA will mail employee a DWC-1 Workers’ Compensation Claim Form to complete immediately to begin the claim process.
State law requires that this form be provided to the employee or a dependent within one (1) working day of receiving notice or knowledge of any injury being work-related.