Almost all of the same principles for Risk Management Fund reporting can also be applied to the Risk Management Workers Compensation program.

SFN 50508 (138kb PDF), Risk Management Fund Incident Report, can be used for reporting incident and accidents that result in minor injuries – injuries that do not require immediate medical treatment other than first aid. Completing and submitting this form on-line with Risk Management Workers Compensation serves as a record of notification to your employer in the event you require medical treatment in the future (up to one year). SFN 50508 should be submitted within 24 hours of receiving the report of injury.

For injuries requiring Medical Treatment, the Employee, needs to:

• Notify your entity Workers Compensation Contact;
• Complete SFN 50508 (138kb PDF) with your Supervisor/Workers Compensation Contact for filing with Risk Management;
• Complete SFN 2828 (34kb PDF) Sections 1 and 2 and file it electronically with Workforce Safety and Insurance;
• Obtain initial treatment from the pre-selected designated medical provider;
• Have care provider complete Section 3 and a Doctor's Report of Injury form (C3) each time you see your care provider during the acute phase of injury;
• Return C3 to supervisor or Workers Compensation Contact as soon as possible, but no longer than 24 hours after treatment.

For injuries requiring Medical Treatment, the Employee's Supervisor/Workers Compensation Contact needs to:

• Complete SFN 2828 (34kb PDF) Sections 1 and 4 and file it with Workforce Safety and Insurance within 24 hours from receipt of a copy of the Employee's Report of Injury; and
• Complete and submit on-line SFN 50508 (138kb PDF), Risk Management Incident Report Form, within 24 hours from receipt of a copy of the Employee's Report of Injury.

Traumatic Injuries require:

• Supervisor to immediately file the SFN 2828 (34kb PDF) and notify Risk Management by phone (701-328-7583); and
• Employee must complete SFN 2828 Section 2 as soon as possible thereafter.