| MTC | Description | Report Trigger Criteria | Value | Report Requirement Criteria |
Report
Due Criteria |
| 00 | Original | A = Lost Time | > 3
working days/shifts |
Date
employer is notified of lost time |
10 days
from notice or knowledge of injury |
| B = Permanent Impairment | N/A | Date
employer is notified of permanent impairment |
10 days
from notice or knowledge of injury |
||
| C = Employee Death | N/A | Date claim
administrator is notified |
Immediate | ||
| D = Occupational Disease | N/A | Date claim
administrator is notified |
10 days
from notice or knowledge of injury |
||
| 01 | Cancel | E = Maintenance Type Event | N/A | Immediate | |
| 02 | Change | E = Maintenance Type Event | N/A | Immediate | |
| CO | Correction | E = Maintenance Type Event | N/A | Immediate | |