Contact: Victoria Rasmussen Created: 01/14/2020 Date Emailed to Staff: 01/21/2020 Effective Date: 01/14/2020
Summary of Changes
Added the information in bold.
Reporting Injury/Accident:
Paid WBLE - To report an injury/accident requiring medical attention or to report an injury/accident with no medical attention, staff need to contact NDE HR at 402.471.5026 to obtain the necessary forms/process on behalf of the client. Follow-up by completing and submitting the attached Client Incident/Accident/Injury Report form. Liability coverage for this arrangement is covered by Workers’ Compensation.
Non-paid WBLE - Liability coverage for this arrangement is covered by the State of Nebraska's blanket accident policy. Call 1-800-346-7692 and hit #1 for Claims. Policy Holder: State of Nebraska Policy Number: SRG 0009141321-B. Follow-up by completing and submitting the attached Client Incident/Accident/Injury Report form
Forms - New or Revised
Form Client Incident Report is now Client Incident/Accident/Injury Report and has been attached to the chapter.
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