Hearings, Reports and Prints of the House Committee on Education and LaborU.S. Government Printing Office, 1978 - Educational law and legislation |
From inside the book
Results 6-10 of 45
Page 136
... FACILITY OF PHYSICIAN AUTHORIZED TO PROVIDE MEDICAL SERVICES Goldberg Medical Clinic 3531 W. Burleigh Street Milw , Wisc 53210 .2 . EMPLOYERS NAME ( Last , first , middel Arroyo , Alex 3. DATE OF INJURY ( Ma , day , year ) 10-30-76 4 ...
... FACILITY OF PHYSICIAN AUTHORIZED TO PROVIDE MEDICAL SERVICES Goldberg Medical Clinic 3531 W. Burleigh Street Milw , Wisc 53210 .2 . EMPLOYERS NAME ( Last , first , middel Arroyo , Alex 3. DATE OF INJURY ( Ma , day , year ) 10-30-76 4 ...
Page 139
... FACILITY OR PHYSICIAN AUTHORIZED TO PROVIDE MEDICAL SERVICES 2. EMPLOYEE'S NAME ( Last , first , middle ) 3. DATE OF INJURY ( Mo. , day , year ) 4. OCCUPATION 5. SOCIAL SECURITY NUMBER 6. DESCRIPTION OF INJURY PART B - PHYSICIAN 7. IS ...
... FACILITY OR PHYSICIAN AUTHORIZED TO PROVIDE MEDICAL SERVICES 2. EMPLOYEE'S NAME ( Last , first , middle ) 3. DATE OF INJURY ( Mo. , day , year ) 4. OCCUPATION 5. SOCIAL SECURITY NUMBER 6. DESCRIPTION OF INJURY PART B - PHYSICIAN 7. IS ...
Page 140
... FACILITY OR PHYSICIAN AUTHORIZED TO PROVIDE MEDICAL SERVICES 2 EMPLOYEE'S NAME IL , first , middle ) 3 DATE OF INJURY ( Mo , day , year ) 4 OCCUPATION & SCCIAL SECURITY NUMBER & DESCRIPTION OF INJURY PART B - PHYSICIAN 7. IS THE ...
... FACILITY OR PHYSICIAN AUTHORIZED TO PROVIDE MEDICAL SERVICES 2 EMPLOYEE'S NAME IL , first , middle ) 3 DATE OF INJURY ( Mo , day , year ) 4 OCCUPATION & SCCIAL SECURITY NUMBER & DESCRIPTION OF INJURY PART B - PHYSICIAN 7. IS THE ...
Page 146
... facilities , if the employee does not go to an emergency facility , but wishes to go directly to a physician , the immediate Supervisor MUST contact the physician immediately and ascertain if the physician is available and will treat ...
... facilities , if the employee does not go to an emergency facility , but wishes to go directly to a physician , the immediate Supervisor MUST contact the physician immediately and ascertain if the physician is available and will treat ...
Page 147
... facility , and any other information re- quested by the Nurse on Duty . EITHER the immediate Supervisor prepares the PS Form 3971 , Notification of Absence , or the employee prepares the PS Form 3971 , in accordance with the employee's ...
... facility , and any other information re- quested by the Nurse on Duty . EITHER the immediate Supervisor prepares the PS Form 3971 , Notification of Absence , or the employee prepares the PS Form 3971 , in accordance with the employee's ...
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Common terms and phrases
45 days action adjudication administration ADP system amendments ANNISTON ARMY DEPOT approved assistance audiograms award benefits bills Chairman chargeback claimant claims examiners committee Compensation Act compensation claims Compensation Programs Congress continuation of pay controverted CORNELL decibels Department of Labor DEPOT determine Director disability district office doctor ELISBURG EMILY employee's employing agency employment Employment Standards Administration FECA Federal Employees Form GAYDOS hearing impairment impairment increased injured employee investigation Jacksonville letter ment months Naval Shipyard noise Norfolk Naval Shipyard occupational Office of Workers OSHA OWCP OWCP's payment payroll percent period personnel physician Postal Service problem procedures question received recommendations record request response result Sacramento Army Depot SARASIN SNIDER staff standards statement STEPHENS subcommittee submitted supervisor tion traumatic injury U.S. Postal Service USPS VACCA vocational rehabilitation WHITEHURST WORRELL ZEFERETTI