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This report must be completed in respect of an alleged occupational disease which an employee when he reports it alleges that the disease arisen out of and in the course of his employment irrespective of the fact that he may have contracted the disease in the employment of a previous employer.
Who completes the form
Employer.
When to complete the form
As soon as an employee provides the employer with a medical declaration of a disease that he suspected to contract from the workplace.
This report must be completed in respect of an alleged occupational injury which an employee when he reports it alleges that the injury arisen out of and in the course of his employment.
Who completes the form
Employer.
When to complete the form
As soon as an employee reports the accident to his employer and that such an injury requires medical treatment from a registered medical practitioner.
This report must be completed after the first treatment given by the medical practitioner in order to diagnose and specify the severity and type of injury sustained by the employee.
Who completes the form
Registered Occupational Medical Practitioner.
When to complete the form
After first medical treatment given by medical practitioner.
This report must be completed whenever the employee visits the medical practitioner for treatment but no less than every month. The report is to specify the progress of treatment related to the injury sustained at the workplace and eventually finalise the report to indicate that no further treatment is needed.
Who completes the form
Registered Occupational Medical Practitioner.
When to complete the form
This report must be completed on a monthly basis (or as specified by medical practitioner visits) until a final medical report is given to finalised the treatment. This form will also be completed with a final report from 2 years after the incident has occurred.
This report must be completed after the first treatment given by the medical practitioner in order to diagnose and specify the severity and type of disease contracted by the employee.
Who completes the form
Registered Occupational Medical Practitioner.
When to complete the form
After first medical treatment given by medical practitioner.
This report must be completed whenever the employee visits the medical practitioner for treatment but no less than every month. The report is to specify the progress of treatment related to the disease contracted at the workplace and eventually finalise the report to indicate that no further treatment can be rendered.
Who completes the form
Registered Occupational Medical Practitioner.
When to complete the form
This report must be completed on a monthly basis (or as specified by medical practitioner visits) until a final medical report is given to finalised the treatment. This form will also be completed with a final report from 2 years after the disease was confirmed and treated.
This report must be completed after the first treatment given by the medical practitioner who specialises in post-traumatic stress disorder in order to diagnose and specify the severity and type of psychiatric disorder the employee has.
Who completes the form
Registered Occupational Medical Practitioner specialising in post-traumatic stress disorder
When to complete the form
After first medical treatment given by medical practitioner specialising in post-traumatic stress disorder.
This report must be completed whenever the employee visits the medical practitioner specialising in post-traumatic stress disorder for treatment but no less than every month. The report is to specify the progress of treatment related to the disorder due to the workplace accident and eventually finalise the report to indicate that no further treatment is required.
Who completes the form
After first medical treatment given by medical practitioner specialising in post-traumatic stress disorder.
When to complete the form
This report must be completed on a monthly basis (or as specified by medical practitioner visits) until a final medical report is given to finalised the treatment.
This report is completed and serves as an affidavit to the compensation commissioner that the employee acknowledges that he contracted a disease from a workplace environment.
This report is to provide information regarding the effects on skin due to an accident. This form may be used by a medical practitioner instead of a first medical report (WCL4).
Who completes the form
Registered Occupational Medical Practitioner specialising in skin.
When to complete the form
After first medical treatment given by medical practitioner.
W.CL.69 Claim for subsistence and transport expenses
Purpose of form
A claim form for subsistence and transport expenses.
Who completes the form
Employee
When to complete the form
After calculating traveling costs for medical treatment purposes.
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