Michigan Nursing Home Administrator (NHA) Practice Exam

Which form is an employer's basic report of injury?

1. WCA - Form 104

2. WCA - Form 107

3. WCA - Form 100

4. WCA - Form 108

The correct answer is: WCA - Form 100

The WCA - Form 100 serves as the fundamental report that an employer must submit regarding any workplace injury. This form is crucial as it documents the details of the incident, including the employee's information, the nature of the injury, and any immediate actions taken in response to the incident. Such reporting is essential for initiating the claims process and ensures that appropriate support and compensation mechanisms can be activated for the injured employee. This form is often required by state regulations to maintain records of workplace injuries and to track patterns or issues that may affect workplace safety. By utilizing Form 100, employers fulfill their responsibility to report workplace injuries accurately and comprehensively.