Montana First Report of Injury (FROI) Codes

Maintenance Type Code (DN2)
00 -- Original

Gender (DN53)
M – Male
F – Female
U – Unknown

Marital Status (DN54)
M – Married
U – Widowed, Divorced, Single, Unmarried
S – Separated
K – Unknown

Employment Status (DN58)
1 -- Full-Time
2 -- Part-Time
3 – Seasonal
7 – Other
9 – Volunteer
C – Piece Worker

Payroll Classification Code (DN59)
--See SCOPES manual--

Wage Period (DN63)
Hour (On hard copy FROI but not an IAIABC value)
6 – Day
1 – Week
2 -- Bi-Weekly
4 – Month

Full Wages Paid for Date of Injury (DN66)
Y – Yes             N – No

Salary Continued (DN67)
Y – Yes             N – No

Cause of Injury Code (DN37)
See web page: http://www.wcio.org/Document%20Library/InjuryDescriptionTablePage.aspx

Part of Body Code (DN36)
See web page: http://www.wcio.org/Document%20Library/InjuryDescriptionTablePage.aspx

Nature of Injury Code (DN35)
See web page: http://www.wcio.org/Document%20Library/InjuryDescriptionTablePage.aspx

Accident on Employer’s Premises (DN34)
Y – Yes             N – No

Type of Initial Treatment Received (DN39)
0 -- No Treatment
1 -- Treatment on-site by Employer or Medical Staff
2 -- Clinic/Dr. Office
3 -- Emergency Room/Urgent Care
4 – Hospitalization > 24 Hours

Self-Insured (DN24)
Y – Yes             N – No

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