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Non-Occupational Injury/Illness Status Report (ISR)EMPLOYEE: This form must be completed in full to ensure eligibility for sick leave entitlement. HEALTH CARE PROVIDER: The City of St. Catharines

How to fill out non occupational injuryillness status

How to fill out non occupational injuryillness status

1. Obtain the non occupational injury/illness status form from your employer or the designated authority.
2. Read the instructions carefully to understand the information required.
3. Fill in your personal details such as name, address, contact number, and employee ID.
4. Provide the details of the injury or illness, including the date and time it occurred.
5. Specify the nature of the injury or illness and the body part affected.
6. If applicable, indicate the cause of the injury or illness, such as an accident or exposure to hazardous substances.
7. If you sought medical treatment, provide details of the healthcare provider, facility, and any medications or treatments received.
8. Sign and date the form to confirm its accuracy and completeness.
9. Submit the filled-out form to your employer or the designated authority as per their instructions.

Who needs non occupational injuryillness status?

1. Non occupational injury/illness status is required by employees who have experienced a non-work-related injury or illness.
2. It is particularly important for individuals seeking compensation or insurance claims related to the injury or illness.
3. Employers may also require their employees to fill out this form to maintain accurate records and assess workplace health and safety.

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What is non occupational injury/illness status?

Non-occupational injury/illness status refers to injuries or illnesses that occur outside of the workplace.

Who is required to file non occupational injury/illness status?

Employers are required to file non-occupational injury/illness status for their employees.

How to fill out non occupational injury/illness status?

Non-occupational injury/illness status can be filled out by providing detailed information about the injury or illness, including how it occurred and the medical treatment received.

What is the purpose of non occupational injury/illness status?

The purpose of non-occupational injury/illness status is to track and report injuries or illnesses that occur outside of the workplace.

What information must be reported on non occupational injury/illness status?

Information to be reported on non-occupational injury/illness status includes details of the injury or illness, medical treatment received, and any time off work.