The following documentation should be submitted to the Compensation Commissioner or the employer individually liable or the mutual association concerned:
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Employer‘s Report of an Occupational Disease (W.CL.1) |
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Notice of an Occupational Disease and Claim for Compensation (W.CL. 14) |
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First Medical Report in respect of an Occupational Disease (W.CL. 22) |
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For each consultation, a Progress Medical Report (WCL. 26) |
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Final Medical Report in respect of an Occupational Disease (W.CL.26) when the employee’s condition has reached maximum medical improvement. The most recent lung function tests available, which include pre- and post administration of a bronchodilator, and medication prescribed should be attached to this report |
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Exposure History (W.CL. 110) or an appropriate employment history which may include any information that may be helpful to the Compensation Commissioner such as Material Safety Data Sheets, risk assessments or results of environme.nta1 hygiene assessments where appropriate. The suspected aggravating agent/agents should be statedif known. |
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A medical report on the employee's symptoms that details the history, establishes a diagnosis of asthma and includes results of lung function and immunological tests, chest radiographs where appropriate or any other information relevant to the claim. |
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An affidavit by the employee if employer cannot be traced or will not timeously supply a W.CL 1, where applicable. |
Housing Development Agency Act, 2008
