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OFFICE OF LEGISLATIVE SERVICES LEGISLATIVE CLINIC DOCTOR OF THE DAY PROGRAM Registration Form 2013 Regular Legislative Session Name (Please indicate MD or DO) Mailing Address City, State, Zip Telephone
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What is fma doctor of form?
The FMA Doctor of Form is a medical form used to report the details of an injured or ill employee in the workplace.
Who is required to file fma doctor of form?
Employers are required to file the FMA Doctor of Form for any employee who sustains a work-related injury or illness.
How to fill out fma doctor of form?
The FMA Doctor of Form must be filled out by the employer or designated representative with details of the employee's injury or illness, medical treatment received, and any lost time from work.
What is the purpose of fma doctor of form?
The purpose of the FMA Doctor of Form is to provide documentation of work-related injuries or illnesses, track medical treatment, and ensure that employees receive the necessary support and benefits.
What information must be reported on fma doctor of form?
The FMA Doctor of Form must include the employee's name, date of injury or illness, description of the incident, medical treatment received, and any work restrictions.
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