First Report of Injury Form
Use the First Report of Injury (FROI) form to submit notice of Injury. The FROI form requires the free Adobe Acrobat Reader software to view and can be filled in electronically.   Simply download the Adobe Acrobat PDF file available below.  

1streport.pdf  (PDF Format - 60k)

Download Instructions
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  • If you already have Acrobat Reader, click the link on the left.  A new window will open and the document will appear.  
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  • You can enter your information right into the screen.  Move between fields by pressing the Tab key.
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  • You can save the document to your hard drive by clicking the 'Save' button on the toolbar, or print the document directly to your printer.
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  • If you do not have Acrobat Reader, click the 'Get Adobe Reader' link and following the instructions to download and install the Reader.  Then, follow the instruction above to access the FROI form.
     

     

    MHRWCT Safety Manual
    We encourage you to make use of the "Mississippi Hospitality & Restaurant Workers' Compensation Trust Safety Manual".  It is much too comprehensive for most members needs as it was written to cover both large and small operators. We have sectioned it so those members may pick and choose which sections apply to them. The safety checklist and accident investigation form will be applicable to owner operators. The formal safety committee would only apply to larger chains that have multiple locations. Management's commitment to safety applies to all operators.

    We will be happy to edit the "safety manual" to your operation. This can be done with a personal visit to your location or you can pencil in the changes you want to make and send it to us for customizing. You can also download the manual to "Word" and edit it using one of the links below.
     

    MHRWCT Safety Manual - Select your desired format:
    mhrwct-safety-manual.doc (Microsoft Word - 348K)
    mhrwct-safety-manual.zip (Compressed Zip - Word Format - 90K)
    mhrwct-safety-manual.pdf (PDF Format - 173K)

    Download Instructions
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  • Determine the type of document you want to download (Word, Zip or PDF).  
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  • If you are unfamiliar with Zip compression, please select "Microsoft Word - Uncompressed".
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  • Right-click on the appropriate link below and select "Save Target As...".  
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  • Save the document to your computer by selecting the appropriate folder and clicking "Save".  
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  • The file will be downloaded to your PC.

    If you have questions or problems, please 
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    use our Contact Page.

    Get Answers to Frequently Asked Questions on our FAQ Page