Workers Compensation
Light Duty
FMLA/ERPL
Sick Leave Sharing
Sick by PAN
100

When does the IA-1 Injury Report need to be filed?

What is As Soon as Possible?

100

The employee can return AFTER what?

What is the LD memo?

100

What is the other reason for FMLA besides Serious Illness or Injury?

What is Birth/Adoption of a child

100

What are 2 things needed for a complete application?

What is...

-PERNER

-Hours Requested

-Reason or request

-Must use ERPL and all personal leave first

100

After how many consecutive days on LNPA must HR be notified?

What is 30 days?

200

Which doctors statements need to be reported following an incident?

What is every appointment related to the injury?
200

When checks are cut will they receive their pay right away?

What is Not Always, they coincide with current payroll.

200

When can this (ERPL) begin to be used regardless of FMLA qualification?

What is day 1?

200

Can we solicit donations through our work emails?

What is no?

200

What happens after HR is notified about 30 consecutive days on LNPA?

What is HR mails a determination letter to the employee?

300

What is just two requirements for what needs to be on the Doctors note?

What is... (2)

    -Date of Visit

    - Reason for visit

    -Any Specific Restrictions

    -Follow up appointment date or release for full duty statement

    -Doctors signature and office phone number

300

Which schedule should you update employees to who will be out for more than one week?

What is Monday-Friday

300

What authorization form related to medical privacy must be provided?

What is HIPAA Authorization Form?

300

Can donated leave can be used for reasons other than what was stated on the original application.

What is no?

300

Once an employee is placed on Leave by PAN, how long do they have to return before separation occurs?

What is 1 year?

400

Workers Comp can also be called?

What is Accumulated Leave?

400

What can an employee also request while on workers comp? 

FMLA

400

What state-specific application must the facility provide to the employee?

What is Kentucky Application for Family Medical Leave?

400

For donations applications how many hours must you have after donation?

What is 75?

400

Who is responsible for tracking the employee’s Leave by PAN status?

What is NOT YOU :)

500

Who all can you foward a copy of the completed IA-1 to for a JDC?

What is Ashely Horne


500

If the employee must leave their shift and seek medical attention, the remainder of their day is to be coded what?

What is WINJ?

500

WH-381 Notice of Eligibility & Rights and Responsibilities fall under which act?

What is the Family and Medical Leave Act?

500

Employees may request to be added to what official listing? 

What is Sick leave sharing masting listing for the state?

500

Even though you are not required to track the leave, what is still your responsibility?

What is, being the point of contact for documentation or questions?

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