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=== Worker Compensation === | === Worker Compensation === | ||
*[https://www.unmc.edu/hr/forms/emp_rel/Choice%20of%20Doctor-English.pdf Choice of Doctor-English] | *[https://www.unmc.edu/hr/forms/emp_rel/Choice%20of%20Doctor-English.pdf Choice of Doctor-English] | ||
*[https://www.unmc.edu/hr/forms/emp_rel/Choice%20of%20Doctor-Spanish.pdf Choice of Doctor-Spanish] | *[https://www.unmc.edu/hr/forms/emp_rel/Choice%20of%20Doctor-Spanish.pdf Choice of Doctor-Spanish] | ||
*[https://www.unmc.edu/hr/forms/emp_rel/WC-Form-EmployeeIncidentReport-2018.pdf First Report of Alleged Occupational Injury or Illness (Worker’s Compensation)] | |||
*[https://www.unmc.edu/hr/forms/emp_rel/HIPAA-COMPLIANT-MEDICAL-RELEASE.DOC HIPAA Compliant Medical Release] | *[https://www.unmc.edu/hr/forms/emp_rel/HIPAA-COMPLIANT-MEDICAL-RELEASE.DOC HIPAA Compliant Medical Release] | ||
*[https://www.unmc.edu/hr/forms/emp_rel/NEGB_First_Fill_Form-English.pdf State of Nebraska GB First Fill Form - English] | *[https://www.unmc.edu/hr/forms/emp_rel/NEGB_First_Fill_Form-English.pdf State of Nebraska GB First Fill Form - English] | ||
*[https://www.unmc.edu/hr/forms/emp_rel/WC-Form-EmployeeIncidentReport-2018.pdf UNMC Incident Report] | *[https://www.unmc.edu/hr/forms/emp_rel/WC-Form-EmployeeIncidentReport-2018.pdf UNMC Incident Report] | ||
If you have any questions about any of the Benefits form/templates please email [mailto:employeerelations@unmc.edu employeerelations] | If you have any questions about any of the Benefits form/templates please email [mailto:employeerelations@unmc.edu employeerelations] |