Archdiocesan Guidelines for Reporting Workers’ Hours
Guidelines used to calculate quarterly WC hours and payroll to compute premium due.
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Investigation Report - Employee
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Investigation Report - Supervisor
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Steps in Filing a WC Claim - Employee
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Steps in Filing a WC Claim - Supervisor
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Sick Leave Usage for Time Loss Compensation
If employee is going on Time Loss, please fill out this form and give to supervisor.
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Provider's Initial Report (PIR)
Employee should take with him/her to the medical provider at the first visit. If PIR is not taken, employee will need to let the doctor know the Archdiocese of Seattle is self-insured so that the doctor will know which forms to use.
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Workers' Comp Nurse Line flyer
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