Page 187 - Personnel Policy and Procedures Manual
P. 187

K.  Physical Capacity Evaluation Form - notification from the authorized treating physician which
                   outlines the medical limitations of the injured employee.

            Section 1000.613  Workers Comp Temporary Duty Forms


               A.  Request for Temporary Duty Assistance Form
               B.  Temporary Duty Employee Performance Evaluation Form















































































               All Rights Reserved – As approved by the Commission on 05-07-2019                   187 | P a g e
   182   183   184   185   186   187   188   189   190   191   192