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Accident Investigation Report
(in PDF) is sent to the Workers' Compensation Office via email, fax, or interoffice mail.
Ensure employee gives supervisor their Return to Work Status after each doctor visit.
Record absences using Sick Leave, with Reason Code OJINJ.
If an employee has been placed Off Work by the physician, give the employee paperwork for LOA/Family Medical Leave.
Forward all paperwork for LOA/Family Medical Leave requests to the Workers' Compensation Office
If the injury involved bodily fluid, see
Injuries Involving Bodily Fluid
For ESI employees see
Your Right to Workers' Compensation