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CERTIFICATION FOR SERIOUS INJURY OR ILLNESS COVERED SERVICEMEMBER Federal Family and Medical Leave Act (FMLA)Military Caregiver Venesection I. Employee and or the Covered Service member (for whom
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How to fill out hrdukeedusbenefits-scertification for serious injury

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How to fill out hrdukeeduformsbenefits-formscertification for serious injury

01
To fill out the hrdukeeduformsbenefits-formscertification for serious injury, follow these steps:
02
Start by gathering all the necessary information, such as the employee's personal details, injury description, and relevant medical documentation.
03
Access the hrdukeeduformsbenefits-formscertification for serious injury form through the HR portal or contact the HR department for a copy.
04
Begin filling out the form by entering the employee's full name, employee ID, department, and position.
05
Specify the date and time of the serious injury incident, along with the exact location where it occurred.
06
Provide a detailed description of how the injury occurred, including any contributing factors or witnesses, if applicable.
07
Attach all relevant medical documentation, such as doctor's reports, hospital records, or X-ray results, to support the seriousness of the injury.
08
Review the completed form for accuracy and completeness before submitting it.
09
Submit the filled-out hrdukeeduformsbenefits-formscertification for serious injury form to the HR department or designated personnel according to the company's procedures.
10
Keep a copy of the submitted form for your records.
11
Follow up with the HR department to ensure proper processing and documentation of the serious injury certification.

Who needs hrdukeeduformsbenefits-formscertification for serious injury?

01
Any employee who has suffered a serious injury while on duty needs to fill out the hrdukeeduformsbenefits-formscertification for serious injury. This includes both full-time and part-time employees, regardless of their position or status within the company. It is important to report and document any serious work-related injuries for insurance, legal, and administrative purposes.

What is hr.duke.edusbenefits-sCertification for Serious Injury or Illness of Covered ... Form?

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Instructions for the form hr.duke.edusbenefits-sCertification for Serious Injury or Illness of Covered ...

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The hrdukeeduformsbenefits-formscertification for serious injury is a form used to certify a serious injury that occurred in the workplace.
Employers are required to file the hrdukeeduformsbenefits-formscertification for serious injury.
To fill out the hrdukeeduformsbenefits-formscertification for serious injury, provide details about the injury, such as the date, time, and location, along with information about the employee.
The purpose of the hrdukeeduformsbenefits-formscertification for serious injury is to document and certify a serious injury that occurred in the workplace.
Information such as the date, time, and location of the injury, as well as details about the nature of the injury and the employee involved, must be reported on the hrdukeeduformsbenefits-formscertification for serious injury.
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