****INFORMATION ONLY*** a. Complete a Report of Accident through the option: Complete/Validate/Sign Accident Report 2162. b. Inform the injured employee on rights and benefits for completing the CA-1 (Injury) or CA-2 (Illness) Compensation Claims. The supervisors on this case are: Supervisor: |4| Secondary Supervisor: |5| An incident (injury, illness or accident) has occurred. Date of incident: |2| Case #: |3| Injury/Illness: |6| The 1st line supervisor is required to:
|SUBJECT||ASISTS Case Notification|
This bulletin will notify interested parties of the creation of a Case.