Application For OIL. A. The employee must report the injury by completing an Injury-on-Duty report. The report must be completed no later than forty-eight (48) hours after the injury, unless the employee is prevented from doing so due to the nature of the injury or illness. In such cases, the employee's supervisor may complete the Injury-on-Duty report. B. To apply for OIL, the employee must complete the following forms: 1. Occupational Injury Leave Agreement (Appendix D) 2. Medical Release Form 3. Any Bureau of Workers' Compensation forms that may be required to process the lost wages claim, which may include but are not limited to: a. First Report of an Injury (FROI-1) b. Request for Temporary Total Compensation (C-84) c. Authorization to Release Medical Information (C-101) C. Competent medical proof of inability to work must be provided via Form C-84 or Physician's Update and Physical Capabilities form. D. It shall be the duty of the Employer to conditionally approve or reject the application, and in doing so, he may require examination by a registered physician of his selection. Once the Employer conditionally approves the application, the Employer will not oppose the employee’s application for workers’ compensation.
Appears in 4 contracts
Sources: Collective Bargaining Agreement, Collective Bargaining Agreement, Collective Bargaining Agreement
Application For OIL. A. The employee must report the injury by completing an Injury-on-Duty report. The report must be completed no later than forty-eight (48) hours after the injury, unless the employee is prevented from doing so due to the nature of the injury or illness. In such cases, the employee's ’s supervisor may complete the Injury-on-Duty report.
B. To apply for OIL, the employee must complete the following forms:
1. Occupational Injury Leave Agreement (Appendix DC)
2. Medical Release Form
3. Any Bureau of Workers' ’ Compensation forms that may be required to process the lost wages claim, which may include but are not limited to:
a. First Report of an Injury (FROI-1)
b. Request for Temporary Total Compensation (C-84)
c. Authorization to Release Medical Information (C-101)
C. Competent medical proof of inability to work must be provided via Form C-84 or Physician's ’s Update and Physical Capabilities form.
D. It shall be the duty of the Employer to conditionally approve or reject the application, and in doing so, he may require examination by a registered physician of his selection. Once the Employer conditionally approves the application, the Employer will not oppose the employee’s application for workers’ compensation.
Appears in 2 contracts
Sources: Collective Bargaining Agreement, Collective Bargaining Agreement