Injury and Personal Injury Defined by NRS Quiz

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What is the responsibility of the employee in regards to completing the C-4 form?

Only sign the middle section (correct)

Send the form directly to the Workers’ Compensation administrator

Complete the bottom portion

Submit the form electronically

Who is typically responsible for sending the C-4 form to the City of Las Vegas?

The physician’s office (correct)

The employee

The payroll assistant(s)

The Workers’ Compensation administrator

What happens if a workers' compensation form is incomplete?

The employee needs to submit it directly to Human Resources

It will be reviewed by the payroll assistant(s)

It will not be accepted by the Worker’s Compensation administrator (correct)

It will be sent to the supervisor for completion

Who initiates the employee’s claim upon receipt of the C-4 form?

The completed form itself Signup and view all the answers

According to the information provided, when should workers and supervisors submit workers' compensation forms?

Electronically or hand-delivered due to time sensitivity Signup and view all the answers

Who reviews the completeness of workers’ compensation forms?

Payroll assistant(s) Signup and view all the answers

Who is responsible for recording receipt of workers' compensation forms?

Payroll assistant(s) Signup and view all the answers

Who provides instructions regarding a claim once it is accepted or denied?

Workers’ Compensation administrator Signup and view all the answers

What is the definition of 'Injury and Personal Injury' according to NRS?

A sudden and tangible traumatic happening with immediate results established by medical evidence Signup and view all the answers

Who is responsible for managing workers' compensation claims for all city employees in the City of Las Vegas?

City’s Worker’s Compensation administrator Signup and view all the answers

What is the responsibility of Supervisors with regards to workers' compensation forms?

Complete the supervisor’s portion of all workers’ compensation forms within seven (7) calendar days Signup and view all the answers

Who should follow SOP100.12 Transitional Work Assignment regarding modified duty release?

City of Las Vegas personnel Signup and view all the answers

What does the City of Las Vegas maintain for industrial claims?

Self-insured and self-administered program Signup and view all the answers

What action should Supervisors take in case their subordinates need medical care as a result of employment injuries?

Assist their subordinates in obtaining medical care Signup and view all the answers

What should Personnel do in response to communications from the City’s Worker’s Compensation administrator and/or Payroll assistant(s)?

Respond as timely as possible Signup and view all the answers

What is the program that adheres to all applicable state statutes and regulations for industrial claims in the City of Las Vegas?

Self-insured and self-administered program Signup and view all the answers

What is disallowed by Nevada statute regarding deductions from workers’ compensation checks?

Deductions for dependent medical coverage Signup and view all the answers

Who should employees contact to establish medical benefits when taking the mentioned option?

The Benefits Section of Human Resources Signup and view all the answers

Which physician is responsible for conducting fitness for duty examinations for employees off regular duty for more than ninety consecutive calendar days?

LVFR clinic physician Signup and view all the answers

When must fitness for duty examinations be completed for employees subject to annual physical examination?

Before being assigned to the Fire Training Center Signup and view all the answers

What will the treating physician determine regarding an employee's work status post-injury/illness?

If the employee may return to full duty with no restrictions Signup and view all the answers

What action should an employee take if they are authorized by their physician to return to modified duty with restrictions?

Adhere to SOP 100.12 Transitional Work Assignments Signup and view all the answers

What is required from an injured/ill employee when their Certificate of Disability or Physical Capacities Evaluation expires?

A new Certificate of Disability or Physical Capacities Evaluation must be obtained Signup and view all the answers

How should time off due to occupational injury or illness be coded?

As Administrative OJI-W. 100.11 Worker's Compensation.doc Signup and view all the answers

What might happen if an employee fails to provide the required certificates regarding their disability?

Their benefits could be impacted Signup and view all the answers

Who is responsible for completing timecards for employees off work due to occupational injury or illness?

The Workers’ Compensation administrator Signup and view all the answers

What must a physician do if additional time off is required after a Certificate of Disability expires?

Provide a new Certificate of Disability or Physical Capacities Evaluation Signup and view all the answers

In what scenario are retroactive adjustments made to time cards involving workers' compensation?

If the claim is later denied Signup and view all the answers

What happens if an IAFF employee's claim is denied?

The lost time will be changed to sick leave. Signup and view all the answers

After 60 days of full coverage, what percentage of their average monthly salary does the Workers Compensation Fund pay?

2/3 Signup and view all the answers

What happens if an IAFF employee chooses not to use accrued leave time after the full coverage (60 days) period?

They will receive 2/3 of their average monthly wage from the Workers Compensation Fund. Signup and view all the answers

What happens if an IAFF employee has no leave available after the 60 days of full coverage?

They will only receive what they are eligible for under Workers Compensation coverage. Signup and view all the answers

What percentage of the average monthly wage does an IAFF employee receive after they have exhausted their accrued leave and do not elect to use it?

1/3 Signup and view all the answers

What happens if an IAFF employee is unable to return to work after the 60 days of full coverage?

The Workers Compensation Fund will pay up to the State allowable maximum. Signup and view all the answers

Under what circumstances will The City not take any deductions from the Workers Compensation check?

When an employee elects not to use accrued leave time. Signup and view all the answers

What happens if an IAFF employee does not have accrued leave and does not choose to use it to supplement their pay after the full coverage period ends?

'The employee gets only what they are entitled to under Workers Compensation.' Signup and view all the answers

What should an employee do in the event of a reoccurrence of a previously reported industrial injury or illness?

Contact the supervisor and the Workers’ Compensation administrator Signup and view all the answers

When must employees provide a new certificate if they are to remain off work at the doctor's instructions beyond the time period specified on their current certificate?

Before the current certificate expires Signup and view all the answers

What is the purpose of offering transitional work assignments (TWA) to employees with a valid Workers’ Compensation claim?

To allow employees to return to work with restrictions Signup and view all the answers

What is discouraged when an employee is under a physician's care and actively participating in treatment to receive benefits?

Taking vacations Signup and view all the answers

What must an employee provide to the Workers’ Compensation administrator and Payroll Assistant(s) to receive benefits if they are unable to work for a specific time period?

Industrial/occupational treating physician's certificate Signup and view all the answers

What should an employee do if they need additional time off beyond what is stated on their physician's certificate?

Obtain and submit a new certificate Signup and view all the answers

What should personnel follow when released to modified or light duty by their treating physician?

Standard Operating Procedure 100.21 Signup and view all the answers

'Transitional Work Assignments' (TWA) are commonly associated with:

'Light Duty or Modified Duty' Signup and view all the answers

What must the employee do to ensure the validity of the C-4 form?

Sign the top section Signup and view all the answers

Who is responsible for reviewing workers' compensation forms for completeness?

The Payroll assistant(s) Signup and view all the answers

What is recommended for submitting workers' compensation forms due to their importance and time sensitivity?

Submit electronically or hand-deliver Signup and view all the answers

When should workers and supervisors consider submitting workers' compensation forms?

Especially on city non-business days Signup and view all the answers

Who is responsible for ensuring the receipt of workers' compensation forms?

The Payroll assistant(s) Signup and view all the answers

What should be done if a workers' compensation form is incomplete?

Return it to the submitter Signup and view all the answers

What is the responsibility of the Payroll Assistant(s) according to city policy?

Coordinate with Human Resources for compliance Signup and view all the answers

Which statement regarding the C-1 form is TRUE based on the policy?

Submitting a C-1 form after medical treatment is sought is considered an incident report. Signup and view all the answers

Who is eligible for workers' compensation benefits according to the policy?

All appointive personnel Signup and view all the answers

When should any work-related injury/illness be reported according to the policy?

As soon as possible by the employee Signup and view all the answers

What responsibility do supervisors have in relation to workers' compensation forms?

Reviewing completeness of forms Signup and view all the answers

What are Payroll Assistant(s) required to communicate with injured/ill employees about?

Work schedules Signup and view all the answers

What happens after the sixty (60) days of full coverage if an IAFF employee is still unable to return to work?

Workers' Compensation Fund pays approximately 2/3 of their average monthly salary up to the State allowable maximum. Signup and view all the answers

What are the two options available to an IAFF employee for pay after the sixty (60) days of full coverage?

Receive a full paycheck using accrued sick leave or annual leave time and charge two-thirds of the average monthly wage to the Workers’ Compensation Fund. Signup and view all the answers

What happens if an IAFF employee does not have available leave or chooses not to use their accrued leave time after the sixty (60) days of full coverage?

The employee will receive full pay and full benefits without any deductions. Signup and view all the answers

What percentage of an IAFF employee's average monthly salary does the Workers’ Compensation Fund pay after the initial full coverage period?

2/3 Signup and view all the answers

In what scenario could an IAFF employee receive only the amount they are eligible for under Workers’ Compensation coverage?

When they elect not to use accrued leave and have no available leave time. Signup and view all the answers

What is the consequence if an IAFF employee has no accrued leave available after the initial 60 days of full coverage?

They will only receive what they are eligible for under Workers’ Compensation coverage. Signup and view all the answers

What does an IAFF employee need to do if they want to receive a full paycheck after the initial 60 days of full coverage?

Utilize their accrued sick leave or annual leave time. Signup and view all the answers

What happens if an IAFF employee does not have any leave available and chooses not to use accrued leave time after exhausting the initial 60 days of full coverage?

They will only receive what they are eligible for under Workers’ Compensation coverage. Signup and view all the answers

What is the main purpose of the Worker's Compensation Standard Operating Procedure?

To provide information on initiating a workers' compensation claim for job-related illnesses or injuries. Signup and view all the answers

Who is responsible for the content, revision, and review of the Worker's Compensation instruction?

The Chief over Administration or their designee. Signup and view all the answers

What must an accident produce in order to be defined as such under NRS?

Objective symptoms of an injury. Signup and view all the answers

Which form is completed by both the employee and the initial treating physician involved in a workers' compensation claim?

Employee's Claim for Compensation/Report of Initial Treatment (C-4). Signup and view all the answers

Which Nevada Revised Statutes are mentioned as sources of authority for workers' compensation claims?

NRS Chapters 616A-D, 617, and 618. Signup and view all the answers

What is required for an event to be considered an 'accident' as per NRS definitions?

$8(4 + 2)$ unexpected and unforeseen event. Signup and view all the answers

Injury and Personal Injury Defined by NRS Quiz

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Questions and Answers

What is the responsibility of the employee in regards to completing the C-4 form?

Who is typically responsible for sending the C-4 form to the City of Las Vegas?

What happens if a workers' compensation form is incomplete?

Who initiates the employee’s claim upon receipt of the C-4 form?

According to the information provided, when should workers and supervisors submit workers' compensation forms?

Who reviews the completeness of workers’ compensation forms?

Who is responsible for recording receipt of workers' compensation forms?

Who provides instructions regarding a claim once it is accepted or denied?

What is the definition of 'Injury and Personal Injury' according to NRS?

Who is responsible for managing workers' compensation claims for all city employees in the City of Las Vegas?

What is the responsibility of Supervisors with regards to workers' compensation forms?

Who should follow SOP100.12 Transitional Work Assignment regarding modified duty release?

What does the City of Las Vegas maintain for industrial claims?

What action should Supervisors take in case their subordinates need medical care as a result of employment injuries?

What should Personnel do in response to communications from the City’s Worker’s Compensation administrator and/or Payroll assistant(s)?

What is the program that adheres to all applicable state statutes and regulations for industrial claims in the City of Las Vegas?

What is disallowed by Nevada statute regarding deductions from workers’ compensation checks?

Who should employees contact to establish medical benefits when taking the mentioned option?

Which physician is responsible for conducting fitness for duty examinations for employees off regular duty for more than ninety consecutive calendar days?

When must fitness for duty examinations be completed for employees subject to annual physical examination?

What will the treating physician determine regarding an employee's work status post-injury/illness?

What action should an employee take if they are authorized by their physician to return to modified duty with restrictions?

What is required from an injured/ill employee when their Certificate of Disability or Physical Capacities Evaluation expires?

How should time off due to occupational injury or illness be coded?

What might happen if an employee fails to provide the required certificates regarding their disability?

Who is responsible for completing timecards for employees off work due to occupational injury or illness?

What must a physician do if additional time off is required after a Certificate of Disability expires?

In what scenario are retroactive adjustments made to time cards involving workers' compensation?

What happens if an IAFF employee's claim is denied?

After 60 days of full coverage, what percentage of their average monthly salary does the Workers Compensation Fund pay?

What happens if an IAFF employee chooses not to use accrued leave time after the full coverage (60 days) period?

What happens if an IAFF employee has no leave available after the 60 days of full coverage?

What percentage of the average monthly wage does an IAFF employee receive after they have exhausted their accrued leave and do not elect to use it?

What happens if an IAFF employee is unable to return to work after the 60 days of full coverage?

Under what circumstances will The City not take any deductions from the Workers Compensation check?

What happens if an IAFF employee does not have accrued leave and does not choose to use it to supplement their pay after the full coverage period ends?

What should an employee do in the event of a reoccurrence of a previously reported industrial injury or illness?

When must employees provide a new certificate if they are to remain off work at the doctor's instructions beyond the time period specified on their current certificate?

What is the purpose of offering transitional work assignments (TWA) to employees with a valid Workers’ Compensation claim?

What is discouraged when an employee is under a physician's care and actively participating in treatment to receive benefits?

What must an employee provide to the Workers’ Compensation administrator and Payroll Assistant(s) to receive benefits if they are unable to work for a specific time period?

What should an employee do if they need additional time off beyond what is stated on their physician's certificate?

What should personnel follow when released to modified or light duty by their treating physician?

'Transitional Work Assignments' (TWA) are commonly associated with:

What must the employee do to ensure the validity of the C-4 form?

Who is responsible for reviewing workers' compensation forms for completeness?

What is recommended for submitting workers' compensation forms due to their importance and time sensitivity?

When should workers and supervisors consider submitting workers' compensation forms?

Who is responsible for ensuring the receipt of workers' compensation forms?

What should be done if a workers' compensation form is incomplete?

What is the responsibility of the Payroll Assistant(s) according to city policy?

Which statement regarding the C-1 form is TRUE based on the policy?

Who is eligible for workers' compensation benefits according to the policy?

When should any work-related injury/illness be reported according to the policy?

What responsibility do supervisors have in relation to workers' compensation forms?

What are Payroll Assistant(s) required to communicate with injured/ill employees about?

What happens after the sixty (60) days of full coverage if an IAFF employee is still unable to return to work?

What are the two options available to an IAFF employee for pay after the sixty (60) days of full coverage?

What happens if an IAFF employee does not have available leave or chooses not to use their accrued leave time after the sixty (60) days of full coverage?

What percentage of an IAFF employee's average monthly salary does the Workers’ Compensation Fund pay after the initial full coverage period?

In what scenario could an IAFF employee receive only the amount they are eligible for under Workers’ Compensation coverage?

What is the consequence if an IAFF employee has no accrued leave available after the initial 60 days of full coverage?

What does an IAFF employee need to do if they want to receive a full paycheck after the initial 60 days of full coverage?

What happens if an IAFF employee does not have any leave available and chooses not to use accrued leave time after exhausting the initial 60 days of full coverage?

What is the main purpose of the Worker's Compensation Standard Operating Procedure?

Who is responsible for the content, revision, and review of the Worker's Compensation instruction?

What must an accident produce in order to be defined as such under NRS?

Which form is completed by both the employee and the initial treating physician involved in a workers' compensation claim?

Which Nevada Revised Statutes are mentioned as sources of authority for workers' compensation claims?

What is required for an event to be considered an 'accident' as per NRS definitions?

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