![]() Return the completed form to the Health and Safety Department. This should be completed within two days of the injury. This form needs to be returned to the Health and Safety Department to be forwarded to Tribal First with your Accident Report.Ĭomplete the upper portion of the Accident Report. Your attending physician should also complete the Return to Work Authorization Form. You may leave this form with your physician, and he/she will forward it to the insurance company listed on the form. Have the attending physician complete the Physicians Initial Report included in your accident packet. Please check with your employer, before seeking medical attention, to verify whether or not a provider has already been selected. Important:Your employer / Tribal First reserves the right to direct your care to a provider of their choice. Immediately report your injury to your supervisor and pick up an Injury Packet from the Health and Safety Department. The following are steps needed to insure your claim is processed in a timely manner: ![]() How to Process Your Workers Compensation Insurance Claim
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