| EVENT |
|
| Confidentiality |
| Always maintain confidentiality of the employee’s
health information. |
During the illness or injury, the recovery period, and
thereafter. |
|
|
Non Work-Related
Illness or Injury |
| Report the illness or injury to
Work~Connections if: |
- It is known that the employee will be absent 10 days or
more; or
- After 10 consecutive days of absence or; if a chronic
illness, after 10 intermittent days of absence in a
three-month period; or
- The employee requests it prior to the 10th consecutive
day of absence.
|
Supervisor Completes the Report
Form
Fax or telephone the completed form to Work~Connections.
Fax (734) 936-1913. |
On or before 10 consecutive days of
absence. |
Employee Completes the Medical
Information Release Form
Provide to Work~Connections in person, by fax or by mail |
Upon referral into the program. |
All Medical Information will be
coordinated through Work~Connections |
|
Work-Related
Illness or Injury |
Report Incident to Your Supervisor
If the employee requires medical treatment, supervisor will
refer her or him to one of the University’s designated
treatment facilities.
Note: If Emergency response is
needed, call 911 |
Immediately |
| Report the illness or injury to Work~Connections.
Fax or telephone the completed form |
Immediately (within 24 hours). |
|
|
| Recovery Period |
Employee
Work~Connections will contact you for information.
Supervisor
Follow up with Work~Connections for updates throughout the
employees recovery period. |
Regularly, as needed. |
| Provide information as requested to the
Work~Connections staff. |
Immediately upon request. |
|
|
| Return to Work |
| In cooperation with Work~Connections staff, the
employee, supervisor, and treatment professionals, a
return-to-work plan will be developed for the employee that
includes any necessary accommodations. |
When the employee is nearing
release by treatment professionals. |
| Interact with Work~Connections staff to
implement a successful return-to-work plan. |
When the employee is released to
return to work. |
| Follow up and monitor progress. |
When the employee returns to work. |
|
