CC Form 2 – Oklahoma Workers’ Compensation First Notice of Injury

Cc Form 2 PDF Details

The CC-2 Form is the Oklahoma Workers' Compensation Commission Employer's First Notice of Injury. Employers use it to report a work-related injury or illness to the Workers' Compensation Commission and their insurance carrier.

The form must be filed promptly after an employer learns of a workplace injury. It captures essential details about the employee, the incident, the nature of the injury, and the employer's insurance coverage.

Key information required on the CC Form 2:

• Employee's full name, address, and last digits of the Social Security number
• Date of the incident and the date the employer was notified
• Length of employment and the time and place of the occurrence
• Description of the injury or illness, and whether it resulted from a single incident or cumulative trauma
• Treatment details and current return-to-work status
• Employer's insurance carrier name, policy number, and NAIC number

The Workers' Compensation Commission requires accurate reporting. Filing a fraudulent claim carries severe legal penalties under Oklahoma law. This form is the official starting point for the claims process and helps ensure injured workers receive the benefits they are entitled to.