If an employee is injured on the job in the state of Nevada, it is important that the employee immediately report the injury to an employer supervisor. The employer should then provide the employee with proper paperwork which includes, Form C-1 (Notice of Injury or Occupational Disease) in addition to Form C-4 (Employee’s Claim for Compensation/Report of Initial Treatment).
The C-1 form will create a record of the employee’s injury and will serve as proof that the employer was informed of the injury. However, the completing of the C-1 form will not begin the injured employee’s worker’s compensation claim.
The completion of the C-4 form will actually start the worker’s compensation claim. This form will be completed upon the employee first visiting a medical provider for treatment. After the physician fills out their portion of the C-4 form, they will send a copy to the employer and the insurer. The C-4 form must be completed, with physician signature, within 90 days from either the date of injury or the date of first noticing the onset of an occupational disease. It is advised that the injured employee retain a copy of the C-4 form for their records.
Within 6 working days after receiving the C-4 form for compensation from the treating physician or chiropractor, an employer shall complete and file with the insurer or third-party administrator a Form C-3, “Employer’s Report of Industrial Injury or Occupational Disease.” Additionally, a Form D-8, “Employer’s Wage Verification Form” must be completed and filed with the insurer within 6 working days of receipt of the Form C-4 if requested by the insurer.
Unless excluded by statute, it is mandatory for an employer who has one or more employees to provide workers’ compensation coverage. Employers who fail to provide coverage will be charged with an administrative fine up to $15,000.00, be subject to certain premium penalties, may be ordered to cease conducting business until coverage is obtained, and will be responsible for all costs arising from a claim for a work-related injury. Employers are also potentially subject to criminal penalty for claims resulting from substantial bodily harm or death.
Employment that is excluded by statute include:
- Employment related to those interstate commerce entities that are not subject to the legislative power of Nevada
- Employment covered by private disability and death benefit plans which comprehend compensation payments of equal or greater amounts than provided in Nevada Revised Statute 616 and have been in effect since July 1, 1946
- Employees who are brought into Nevada on a temporary basis and who are insured in another state if extraterritorial coverage provisions are in effect with the other state
- Casual employment which does not last more than 20 days and has a total labor cost of less than $500 if employment is not in the course of trade, business, profession or occupation of the employer
To be in compliance with the Nevada state statute, required employers may purchase insurance from a private carrier licensed in Nevada or be certified by the Division of Insurance as a self-insured employer.