§ 82-562. Submitting supplemental reports  


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  • The supervisor must report intermittent lost time, return to work, termination or death are listed as follows:

    (1) If the employee begins losing time from work after initial filing of a workers' compensation claim, the supervisor must complete a supplemental report of injury and forward to the risk management office within 24 hours. The supervisor forwards the new employee and change form to the auditor's office to initiate FMLA status.

    (2) If the employee returns to work, the supervisor must complete a supplemental report of injury indicating the date the employee's returned to work, whether or not it is full or light duty, including a copy of the release from the medical provider and forward to the risk management office within 24 hours. Personnel action forms returning the employee must be forwarded to the auditor's office for regular pay to resume.

    (3) If an employee is terminated, resigns or dies during the course of the injury, the supervisor must complete a supplemental report and forward to the risk management office within 24 hours. A notice of separation form should be completed and forwarded to the appropriate offices.

    All supplemental reports must be faxed to the risk management office within 24 hours.

(Ord. No. 2000-889, § 4.11, 5-2-2000; Ord. No. 2004-1803, 10-5-2004)