{"id":688,"date":"2022-03-22T15:19:10","date_gmt":"2022-03-22T15:19:10","guid":{"rendered":"https:\/\/occaccrisk.com\/?page_id=688"},"modified":"2022-03-24T14:33:34","modified_gmt":"2022-03-24T14:33:34","slug":"claims-reporting-form","status":"publish","type":"page","link":"https:\/\/occaccrisk.com\/claims-reporting-form\/","title":{"rendered":"Claims Reporting Form"},"content":{"rendered":"<\/div><\/div><\/div><!-- close content main div --><\/div><\/div><div id='av-layout-grid-1' class='av-layout-grid-container entry-content-wrapper main_color av-flex-cells   av-border-top-bottom container_wrap sidebar_right'   >\n<div class=\"flex_cell no_margin av_one_half   \" style='vertical-align:middle; padding:30px 30px 30px 10% ; '><div class='flex_cell_inner' ><section class=\"av_textblock_section \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock  '   itemprop=\"text\" ><p>If you prefer to download a PDF version of this form please download, complete, scan, and email to <a href=\"mailto:claims@occaccrisk.com\">claims@occaccrisk.com<\/a><\/p>\n<\/div><\/section>\n<\/div><\/div><div class=\"flex_cell no_margin av_one_half   \" style='vertical-align:middle; padding:30px 10% 30px 30px ; '><div class='flex_cell_inner' ><div class='avia-buttonrow-wrap avia-buttonrow-right  '>\n<a href='\/forms\/OAR_claims_reporting_packet-fillable.pdf.zip'  class='avia-button  avia-icon_select-yes-left-icon avia-color-custom avia-size-small '  style='background-color:#6f983f; border-color:#6f983f; color:#ffffff; margin-bottom:5px; margin-left:5px; ' ><span class='avia_button_icon avia_button_icon_left ' aria-hidden='true' data-av_icon='\ue82d' data-av_iconfont='entypo-fontello'><\/span><span class='avia_iconbox_title' >Download PDF<\/span><\/a>\n<a href='\/forms\/OAR_claims_reporting_packet-fillable.pdf'  class='avia-button  avia-icon_select-yes-left-icon avia-color-custom avia-size-small '  target=\"_blank\"  style='background-color:#6f983f; border-color:#6f983f; color:#ffffff; margin-bottom:5px; margin-left:5px; ' ><span class='avia_button_icon avia_button_icon_left ' aria-hidden='true' data-av_icon='\ue835' data-av_iconfont='entypo-fontello'><\/span><span class='avia_iconbox_title' >Open PDF<\/span><\/a>\n<\/div>\n<\/div><\/div><\/div><div class=\"flex_column av_one_full  flex_column_div first  \" style='padding:0px 10% 0px 10% ; border-radius:0px; '><p><div style='padding-bottom:10px; ' class='av-special-heading av-special-heading-h3  blockquote modern-quote  '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >If the injury is NOT a medical emergency:<\/h3><div class='special-heading-border'><div class='special-heading-inner-border' ><\/div><\/div><\/div><br \/>\n<section class=\"av_textblock_section \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock  av_inherit_color '   itemprop=\"text\" ><ol>\n<li>Upon notification of an occurrence, an Accident Loss Notice should be completed. Do not delay in reporting the claim, even if you don\u2019t have all the information. You will be notified of any additional information needed.<\/li>\n<li>The injured employee should complete the Employee Statement.<\/li>\n<li>The HIPAA release should be signed.<\/li>\n<\/ol>\n<\/div><\/section><\/p><\/div><\/p>\n<div class=\"flex_column av_one_full  flex_column_div first  \" style='padding:0px 10% 0px 10% ; border-radius:0px; '><section class=\"avia_codeblock_section  avia_code_block_0\"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_codeblock '  itemprop=\"text\" > [avia_codeblock_placeholder uid=\"0\"] <\/div><\/section><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":4,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"_links":{"self":[{"href":"https:\/\/occaccrisk.com\/wp-json\/wp\/v2\/pages\/688"}],"collection":[{"href":"https:\/\/occaccrisk.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/occaccrisk.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/occaccrisk.com\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/occaccrisk.com\/wp-json\/wp\/v2\/comments?post=688"}],"version-history":[{"count":1,"href":"https:\/\/occaccrisk.com\/wp-json\/wp\/v2\/pages\/688\/revisions"}],"predecessor-version":[{"id":704,"href":"https:\/\/occaccrisk.com\/wp-json\/wp\/v2\/pages\/688\/revisions\/704"}],"wp:attachment":[{"href":"https:\/\/occaccrisk.com\/wp-json\/wp\/v2\/media?parent=688"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}