The the Accident Injury Report (311 form) must be completed for all work-related injuries ... leave designation form to utilize accumulated sick leave to supplement workers' compensation benefits.

State or Research Foundation (RF) employees complete, sign and submit this report about on-the-job accidents or injuries. After submission Human Resources will send you a New York state packet of ...

Workers' Compensation is a statutory program that provides wage ... work-related accidents or injuries to his/her supervisor immediately, complete the injury report form within 24 hours of the ...

If you are asked for a case or claim number, explain that it will be issued by the Wyoming Workers ... form to David Heath in Human Resources, daheath@uwyo.edu. If a work-related injury meets any of ...

Notifying Medicare about a workers' compensation arrangement is crucial. Without notification, a person risks claim denials and having to reimburse Medicare.

alert the medical staff if your injury/illness is work-related. Employees will complete a C-4 form with the medical provider. The medical provider will submit a completed C-4 to the employer to ...