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What to do if injured on the job
Jun 22, 2007
What to Do When Injured on The Job
·        Immediately Report Injury to Supervisor/Shop Steward
·        Be certain injury is documented
·        If possible keep copy of report
·        Ask for Contractors Workers Compensation Information:
A)   Insurance Company Name, Address, Telephone number.
B)   Policy number.
C) Contact person if available.
*** Notify Local 17 Benefit Fund Office Staff-report claim /case # ***
You must complete and file a C-3 Report with the workers compensation board. A case number will be assigned to you.
Attend all scheduled hearings at Workers Compensation Board.
Medical bills from work related injuries are paid 100% by Contractors Workers Compensation, In addition by properly filing claims you will be entitled to Workers compensation benefit hours to be credited to that year up to 800 hours to continue Insurance Coverage and to receive a basic credit should you be unable to work ( this 800 can not be used towards vesting requirements nor can they be considered for a bonus credit).

Laborers' International Union of North America Local 17
451A Little Britain Road
Newburgh, New York 12550

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