WORKERS’ COMPENSATION AND TEMPORARY DISABILITY
9. WORKERS’ COMPENSATION AND TEMPORARY DISABILITY
900.001 Supervisor’s Accident Report Form (2 attachments)
900.001 – Attachment A — Instructions for Completing the State of Hawaii Supervisor’s Accident Report Form
900.001 – Attachment B — Supervisor’s Accident Report Form
902.001 Return to Work Priority Program (10 attachments) (rev. 10/27/03)
902.001 – Attachment A — Administrative Directive No. 94-02, dated April 21, 1994
902.001 – Attachment B1 — Estimated Functional Capacities Form
902.001 – Attachment B2 — Mental Residual Functional Capacity Assessment
902.001 – Attachment C — Light Duty Report
902.001 – Attachment D — Sample Departmental Meeting Letter
902.001 – Attachment E — Request for Statewide Job Search Assistance
902.001 – Attachment F — Notification of Employee Separation
902.001 – Attachment G1 — Flow Chart Return to Work Priority Program
902.001 – Attachment G2 — Flow Chart Light Duty
902.001 – Attachment G3 — Flow Chart Priority Placement