Rhode Island Workers' Compensation Act Poster Required

This employer is subject to the provisions of the 	
WORKERS’ COMPENSATION ACT  	
of the State of Rhode Island 	
Workers’ Compensation In surance Company : 
Adjusting Company :  
Telephone:  Policy Effective Date:  In
 accordance  with  Rhode  Island General  Law §28-32-1,  the  employer  must report  to  the 
Director  of  Labor  and  Training  every  personal  injury sustained  by  an employee  if the  injury 
incapacitates  the  employee  from earning  full wages  for at  least  three  (3) days  or  requires 
medical  treatment,  regardless  of  the  period  of  incapacity.  If  the  injury  proves  fatal,  the  report 
must  be  filed  within  forty-eight  (48)  hours.  If  not  fatal,  the  r eport  shall  be  made  within ten  (10) 
days of the injury. 
An  injured  employee  shall  have  the freedom  to choose  medical  treatment  initially. The 
employee’s first visit to any facility under contract or agreement with the employer or insurer to 
provide priori ty care shall not be considered the employee’s initial choice. 
For more information about Workers’ Compensation procedures and benefits, call the Education 
Unit at (401) 462 -8100 and press option #1 or TDD (401) 462-8006. If you suspect fraud, contact 
the Fraud Prevention Unit at (401) 462-8100 and press option #7. 
In  accordance with Rhode Island General Law §28-29-13, thi s notice must be posted and 
maintained in conspicuous places where workers are employed. Fines may be imposed for 
noncompliance. 
DWC-8 (6/ 2020)