Star Systems - Workers' Compensation Report

Why Do I Need A Workers' Comp Report?

Workers' Compensation Insurance is skyrocketing. Much of that increase is due to fraud and deception on behalf of workers who would rather get paid to not work. Span Corporation gives you the tools you need to weed out fraud before it ever hits your payroll. After a conditional offer of employment has been made, many states allow you to screen applicants for workers' compensation claim histories.

Note: It is very important to not discriminate against a worker solely because of a previous injury. If you have any questions, please consult a labor attorney.

What Is Required To Request This Report?


         Name
         Date of Birth
         Social Security Number
         State

           Note: Can vary by location requested.

Workers' Compensation Report

Smith, Joel Diva white male 123 Pine Lane DOB 12/02/56 Jackson, MS Age 39 39211 SSN 001-31-3216 Employed by XYZ Manufacturing, INC. Jackson,MS Claim Information State MS Number 953838DKL389 Extent of Injury PERMANENT PARTIAL Date of Injury 09/23/1995 Occupation WAREHOUSE WORKER Returned to Work 12/20/1995 Nature of Injury SPRAINS, STRAINS Record as of 12/31/1995 Part of Body LOWER BACK Cause of Injury LIFTING

Smith, Joel Diva white male 123 Pine Lane DOB 12/02/56 Jackson, MS Age 38 39211 SSN 001-31-3216 Employed by ABC, INC. Jackson,MS Claim Information State MS Number 9538383J1293 Extent of Injury PERMANENT PARTIAL Date of Injury 05/23/1994 Occupation WAREHOUSE WORKER Returned to Work 11/30/1994 Nature of Injury SPRAINS, STRAINS Record as of 12/31/1995 Part of Body LOWER BACK Cause of Injury LIFTING