Industrial Accident Compensation Claim Form: What You Must Remember!

One of the first things you should do after suffering a work-related injury is to fill out Industrial Accident compensation claim form (such as a workers' compensation medical treatment application form or an industrial accident compensation insurance benefit application form). However, did you know that every detail in the application form plays a crucial role in determining whether your claim is approved?

Today, we will share the key points you must pay attention to when filling out a workers' compensation claim form!

▷ 8 Essential Guidelines for Completing a Workers' Compensation Claim Form

1. Accurate factual details!

Specify exactly when, where, and how the accident or illness occurred.

For example, instead of “around March,” write “March 18, 2024, at 8:20 AM.”

2. Clearly establish the causal relationship with work

It must be clearly stated that the accident occurred while working or due to work-related activities.

For example, “While performing additional field work as instructed by a supervisor” or “While lifting a heavy object during work” should be written in a clear and specific manner.

3. Provide a consistent and detailed account of the incident

When writing the accident report, it should be concise, clear, and consistent.

The content must be consistent with medical records, witness statements, and other relevant documents.

Avoid false statements, exaggerations, or speculation.

4. Secure witnesses, references, and supporting documents

If there were witnesses at the accident scene, be sure to include their full names and contact information.

Submitting supporting documents such as photos, CCTV footage, or statements from colleagues can significantly aid the review process.

5. Ensure consistency with medical records

The accident report must match the hospital diagnosis, initial medical records, and other documents regarding the accident, including the time and cause of the accident.

Discrepancies may result in rejection, so please review carefully!

6. Sign the application form yourself (or affix your seal)

The applicant must sign the application form at the end.

Do not forget!

7. Carefully check family and company contact information

Accurate input of contact information, address, and company details is essential for prompt review and communication.

8. Absolutely no duplicate or false claims

Submitting the same information multiple times or exaggerating/falsifying details

may result not only in claim denial but also civil or criminal liability. Please be cautious!

▷ Additional Tip! Please read carefully

1. Describe the accident circumstances in detail!

“On which day, at what time, how many times did you lift how heavy an object?”

It is important to describe the exact work conditions and circumstances in detail.

If the work is unfamiliar, attaching a work video can make it much easier to understand.

2. Foreign workers can apply directly!

If the employer hides or obstructs the reporting of a work-related injury,

the foreign worker can apply directly to the Workers' Compensation Insurance Corporation.

Gather all available documents that can prove the facts of employment, such as an employment contract, pay stubs, and witness statements.

✔ Workers' compensation claims are your right—make sure to handle them carefully!

If there are any suspicious or difficult parts, consult with an Administrative Attorney or seek counseling from the Workers' Compensation and Welfare Service.

Stay safe and healthy at work! :)

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