STEP 3: Supervisorís Responsibilities
The Supervisor Responsibility Checklist form is required if the employee has sustained injuries that require treatment at a medical facility.
Click below to download this form.
* This form must be attached to an 801 Workerís Compensation Claim Form (found in the column on the left). Supervisors and employees are required to complete this form, this will allow us to start the formal claim process.
|STEP 3 - SUPERVISORS CHECKLIST.PDF (92.8kb)|