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How to eSign a document: digital signature legitimateness for Employee Incident Report in United States

[Music] welcome to the fourth video in our workers compensation series in this short video we will go over our internal incident report and why it is such an important document for our department the incident report can be located in the g-drive in our claim reporting kit this is available in both Spanish and English the claim reporting kit also includes an authorization to disclose health information and a first fill prescription form the incident report should be filled out by our associate employee in their own words if the employee fills out their injury report in Spanish please translate the document before sending both copies to your work on specialized the injury report should be as detailed as possible when the Associated employee explains their incident all of these details can come in handy when you are out at the client company completing your accident investigations before you send the document to your work comp specialist please review it with the associate employee to make sure that all the boxes are filled out and that you understand how the injury happened this will help you with your safety accident investigation at the customer the authorization to disclose health information needs to be signed and dated after being filled out this document allows us and Gallagher Bassett to receive medical records needed to complete their investigation this document can also be used by our compliance department when they need a disclosure to release pa DT results the first filled prescription form should be given to the associate employee if they are seeking treatment this form allows them to get their first 30 days of their medication free of charge there is also a list of pharmacy locations that accept work comp insurance in the claim reporting kit lastly there is a brochure that you can print out that explains work comp info to the associate employee as always speed is of the essence the injury report should be completed as soon as possible with the associate employee ideally within 24 hours so that the details are as fresh in their mind as possible when you advise the associate employee to come in and complete the report document that into messages in ambient a make reasonable attempts to get the associate employee to come into the office if an associate employee is unable to get to the branch to fill out the injury report it is okay to take their information over the phone and then send that report to your work comp specialist with your signature noting that you took this info verbally email the completed incident report as soon as you can to the work comp team the injury report should be filled out if any accident is reported whether or not they are seeking treatment the associate employee can write on there that an accident is not work-related or that they are not seeking medical attention the injury report is the associate employees version of the events that is why they need to sign it if you have an additional comment to make send that information on a separate email to your work comp specialist