EMPLOYER RESPONSIBILITES

• Assist the injured employee in obtaining medical treatment.
• Follow up with the injured worker and the physician.
• Expect the injured employee to receive an immediate release to transitional work tasks. If this does not occur, contact the physician regarding the commitment to accommodate any physical restrictions less than absolute bed rest.
• Review the physical restrictions and instructions from the physician and identify appropriate transitional job tasks.
• Fax the Transitional work task/s description to the physician for approval by signature if the employee states that the tasks are outside the given restrictions.
• To file the First Report of Injury (#122 Form), go to the website of www.ucip.utah.gov - then report the claim(s). For 24/7 reporting needs, you can call 1-866-274-6033 to report the claim to a live person. They will notify UCIP/ASC of the new claim that was reported after regular office hours.
• Monitor the modified tasks and the injured employee to ensure adherence to instructions from the treating physician.
• Fax wage and hour information to attention Trudy Shauffer, Workers Comp. (801) 261-5466. Please maintain communication with your claim representative.

Sample Transitional Duty Job Offer Letter

EMPLOYEE RESPONSIBILITIES

• Report your injury immediately to your supervisor.
• Seek medical care promptly .
• You may receive medical treatment at our Preferred Medical Provider.
• Give your work release to your supervisor or company designee immediately upon release from the doctor.
• Follow your doctor's instruction.
• Keep our Supervisor informed of your progress.
• When your physical restrictions change, give the new work release to your supervisor immediately and notify your claim representative.
• Maintain contact with your claim adjuster at 801-261-5480.