WebClick the First Medical Report - Accident WCL4 option to select it. 1.1.8. Upload Documents for Claim - Internet Explorer If any notes are required when attaching a document, this information can be populated in the Notes field. Custom App - Upload Documentation by Employer user 6 Step Action WebThe purpose of the warning is to try and correct a situation, if necessary by progressively more severe sanction each time the offense is repeated, or if there are repeated offenses …
Form - COID - W.Cl.4 - First Medical Report in Respect of...
WebN.B.: This report must be handed to the injured employee or sent to the employer within 14 days from the date of first consultation. Call Centre No.: 086 010 5350 - Fax No.: (012) 323-8627 or (012) 323-6986 E-mail: [email protected] - Website: www.labour.gov.za … Web2. The treating service provider completes a WCL4 form (first medical report) and/or WCL5 form (progress/final report). 3. The service provider (Doctor, Hospital or other medical service provider) is required to attach a copy of each of the WCL2 and WCL4 and/or WCL5 forms together with each account submitted (it is recommended that the … megabus raleigh to charlotte
W.CL Forms and Document Guidelines
WebIn order for a claim to be submitted and processed by the Commissioner, the following forms need to be completed: - WCL.3 - Claim for compensation completed by worker - WCL.2/100 - Employer's report of accident - WCL.4 - First Medical Report - WCL.111 - Medical Report - WCL.110 - Industrial History - SMB 27/9 - Panel Report - this only applies if … http://www.idm.uct.ac.za/sites/default/files/image_tool/images/496/Documents/HealthSafety/Injury_on_Duty_Incident_Reporting_Procedure_FlowChart.pdf WebSignature of Medical Practitioner/Chiropractor Name (Printed) Address Date (important) Practice number NB Progress reports must be submitted on a monthly basis to the … names of prescribed water pills