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Form 101 - First Report of Injury

How to file a Form 101 - First Report of Injury.
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Where do I get the Form 101 - Employers First Report of Injury?

As of January 1, 2014, the Form 101 - Employer's First Report of injury is no longer available in paper form. All Form 101's MUST be filed electronically through an online account with the DIA.

Additional Resources

Open file,  File an Employer's First Report of Injury, Illness or Death (Form 101) online

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