who elects to provide accident benefits pursuant to
shall submit the following reports
for all injuries:
(a) An employer's report of
an industrial injury, on a form approved by the Administrator. This report is
due within 6 working days after the date of notice of the injury or the
employee's claim for compensation and a physician's or chiropractor's report of
initial treatment, on a form approved by the Administrator. This report is due
within 5 days after initial treatment.
(c) Upon request, copies of all bills from
providers of medical care itemizing the services rendered.
The following reports must be submitted
(a) A copy of the physician's
operative report covering surgery performed.
(b) Copies of all reports of medical
consultation requested by the treating physician or chiropractor or the
(c) A copy of the
hospital's report of the employee's discharge.
The following reports are required on a
(a) A monthly report prepared
by the treating physician or chiropractor during the period of disability. The
report must contain a narrative summary of the condition of the injured
employee, his or her progress, and the physician's or chiropractor's plan of
future treatment and prognosis. The report is due on or before the 10th day of
each month following the month in which the treatment or evaluation is
(b) Annually, on July 1,
a copy of the current document which advises the employee of his or her rights
to accident benefits as a result of industrial injury or occupational disease
and the procedures which the employee is to follow to obtain those accident
employer shall submit all reports required by this section to the Administrator
and the insurer of the employer.
All determinations regarding compensation must be made by the
Admin. Code §
Industrial Comm'n, No.
32.040, eff. 10-13-77-NAC A by Div. of Industrial Insurance Regulation,
10-26-83; 2-22-88; A by Div. of Industrial Relations by R098-98,