By following the following rules all should go well when reporting and claiming from the Compensation Fund.
- An injury necessitating outside medical treatment requires completion of Part A, Page 1 of the Employers Report of an Accident (W.Cl.2) Part B is given to the employee to be handed to the doctor or emergency services.
- The employer must obtain the First Medical Report (W.Cl.4) from the doctor, complete it and send the pages with the W.Cl.4 form and a certified copy of the employees ID to the Compensation Commissioner within 7 days.
- The Commissioner will send the employer a postcard (W.Cl.55), providing a claim number which must be used on all correspondence.
- Once the claim has been considered and the liability accepted, will a postcard (W.C.l.56) be sent to the employer. If no W.C.l.56 is received, liability is not accepted.
- In cases of prolonged absence, a Progress Medical Report (W.Cl.5) form must be obtained from the doctor every month and submitted to the Commissioner.
- A Final Medical Report (W.Cl.5) will be issued once the doctor is satisfied the employee is fit for duty. Said report must be submitted to the Commissioner.
- A Resumption Report (W.Cl.6) must be completed when the employe returns to work and submitted to the Commissioner.
Only on receipt of all the reports will the Commissioner make payments and close the case.
CLAIM CRITERIA
- If an employee is booked off for an IOD for 3 days or less, the Commissioner does not pay a cent. The employer does therefor not need to pay the employee either.
- If an employee is booked off for an IOD for 4 days or more, but less than 3 months, the employer pays the injured employee at a rate of 75% of basic wage from day 1 until the employee returns to work.
- Should the period exceed 3 months, the employer pays at a rate of 75% of basic wage from day 1 for 3 months ONLY.