North Dakota
In the event of an on-the-job injury occurring in the State of North Dakota, please follow the below steps in order.
- Step 1: Report the injury or illness to your supervisor immediately. Seek treatment with a medical provider of your choosing.
- Step 2: Document your injury as soon as possible by choosing one of the following options:
- If you work for an agency that reports an injury, illness or near miss using the Workday system, logon to Workday. Select
Report a Safety Incident within the Workday Safety application.
- If your agency has not established an injury, illness or near miss reporting process or you are unaware of the process, please click on this hyperlink. Select Submit a New Risk Management Request, fill-in the fields on the form and select Out-of-State Safety Incident Report under the Type of Request drop down menu, then submit the form.
- Step 3: Please complete the state of North Dakota online
First Report of Injury form immediately and send a copy to DAS Risk Management. This initiates the workers’ compensation process.
- Step 4: Your claim will be processed by North Dakota Workforce Safety & Insurance (WSI). Please work with WSI and provide them with any needed information during the life of your claim.
For any questions or concerns please reach out to DAS Risk Management