EARLY NOTIFICATION OF SEVERE INJURY Forms
| Form Name | EARLY NOTIFICATION OF SEVERE INJURY |
| Form # | MWCC Form R-1 |
| Form Revision | (Adopted 7-82) |
| Category | Forms » Medical/Health |
| Downloads | |
| Form State | Mississippi |
| Language | English |
| State Description | This form is filed by the employer or carrier immediately with the Commission to give notice of severe injuries. This is used in addition to the First Report of Injury form (IAIABC IA-1). (Mississippi |
| Claimwire Description | n/a |