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Art provided by Danielle Ericson, Applecross SHS EMPLOYEE SUPPORT BUREAU FORMS

Employee Support Bureau

 


As the Employee Support Bureau is made up of smaller units, please find attached links to forms for each of the areas.

Occupational Safety and Health

Word Document Accident/Incident Investigation Form (3 pages)
Word Document Accident Incident Report Form   (1 page)
Word Document Optical Aids Subsidy (Vision Screening)
Word Document Election of a Safety Representative
  Evacuations and You
Word Document Hazard Report Forms
Word Document Inspection Checklists
Word Document Out of Pocket Expenses information

Injury Management

Word Document Order form for Injury Management Posters and Prime Employee Assistance pamphlets.
Word Document Progress Report - Vocational Rehabilitation Providers
Word Document Relief Notification Pro-forma - Vocational Rehabilitation Providers

Workers' Compensation

Word Document Accident Incident Report Form   (1 page)
Word Document Accident/Incident Investigation Form (3 pages)
Word Document Checklist for claims
Exit Form 1B - Employer's Report Form
Exit Form 2B - Employee's Report Form
Exit Form 3A - Recurrence of Disability Form
Exit Form 4 - Travel Accident Form
Exit Form 5A - Witness Statement Form
  Injury Management and Workers' Compensation Policy
Exit Reimbursement of Travel Expenses
Word Document Vocational Rehabilitation information for the Doctor

If you require any further information on the above forms, please contact the relevant administrative assistant in the Employee Support Bureau.

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Feedback regarding this website to be sent to the Project Coordinator.
Last updated: 2 February 2007
© Human Resources Services 2005