The Employers' First Report of Injury (IAIABC IA-1)
is filed by the
employer or their workers' compensation insurance carrier via our
IMPORTANT NOTICE: The
Commission will temporarily accept this form in paper but the paper
submission must be
published on this WCC website and must be at 100% in size
(no scaling) with no modifications or customizations.
This form must also be printed on 8.5 x 11 inch paper with .5 inch
margins on all sides.
No other versions of this form will be accepted. For timely processing, the
Commission recommends that the community utilize the FROI process on
injured worker will file the Employee Claim Form C-1.
Report of Injury (FROI) must be
filed by the employer/insurer with the Workers' Compensation
Commission. In accordance with COMAR 14.09.01.02 ' Commission Forms, the
Commission only accepts the FROI form prepared by and issued by the
Commission, form IA-1 (r 1-1-02).
The QuickStart guide is posted to our Reference
The training video is available at our Knowledge Center
fields: Type of Injury/Illness, Date of Death (if applicable) and
Initial Treatment must be completed and are required by Maryland Occupational
Safety and Health (MOSH), a unit of the Division of Labor &
Industry. If these and
all other required fields are not complete or on a form other than
the Commission's, the FROI will be returned. Please see the complete
list of acceptable WCIO Type of Injury/Illness codes