First Report Of Injury Forms - Box 13777 state office of risk. Fax a copy or mail the original to: Web indicate the part of body affected by the injury/illness, (eg. Web covered establishments must submit their annual 300a, 300, and 301 data to the injury tracking application (ita). State office of risk management. This can be done via telephone, facsimile or. Web deaths and serious injuries must be reported to the department within 48 hours.
Web indicate the part of body affected by the injury/illness, (eg. Fax a copy or mail the original to: Box 13777 state office of risk. Web deaths and serious injuries must be reported to the department within 48 hours. This can be done via telephone, facsimile or. Web covered establishments must submit their annual 300a, 300, and 301 data to the injury tracking application (ita). State office of risk management.