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RM0001: Employee Injury ReportTo report employee injuries or occupational diseases Department: Risk Management |
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RM0002: Declination of Treatment for Work Related InjuryEmployee's record of declining treatment for a work-related injury Department: Risk Management |
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RM0005: Release to Return to Work for Workers' CompensationPhysician's recommendations for return to work for Workers' Compensation Department: Risk Management |
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RM0006: Verification of Work Restrictions FormSupervisor's agreement with injured employee about restrictions Department: Risk Management |
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RM0007: Workers' Compensation Mileage FormRecording mileage for trips necessary as a result of work-related injury Department: Risk Management |
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RM0013: Bloodborne Exposure Incident ReportTo report exposure with blood or other potentially infectious material Department: Risk Management |
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RM0014: Bloodborne Exposure Incident Report Declination of Medical Assessment TreatmentFor staff to decline treatment after a bloodborne exposure incident. Department: Risk Management |
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RM0015: Hepatitis B Request/DeclinationOption for Hepatitis B Vaccination Department: Risk Management |
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RM0019: Student Incident ReportUse to report student injuries Department: Risk Management |
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RM0020: Student Incident Investigation ReportRecord of investigation after student injury Department: Risk Management |
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RM0023: Patron Incident ReportTo be completed for all non-student/non-employee injuries Department: Risk Management |
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RM0026: Claim Form for Replacement of Personal Items* Department: Risk Management |
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RM0035: Release to Return to Work-Mental Health IssuesDoctor's documentation for employee return to work - mental health issues Department: Risk Management |
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RM0036: Release to Return to Work (Excluding Workers' Compensation)To be completed by treating physician prior to returning to work Department: Risk Management |
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RM0040: Vehicle Collision Report Form* Department: Risk Management |