SOP_NUMBER: 104.22-att-2
TITLE: Notice of Injury and Leave Election Form
REFERENCE_CODE: IVO04-0002
DIVISION: Administrative & Finance
TOPIC_AREA: 104 Policy-HR Records/I.D./Criminal History
EFFECTIVE_DATE: 2020-05-27
WORD_COUNT: 20
POWERDMS_URL: https://public.powerdms.com/GADOC/documents/105217
URL: https://gps.press/sop-data/104.22-att-2/

SUMMARY:
This form is used to document employee injuries and record the employee's election regarding leave options following a workplace injury. The completed form is retained permanently in both the employee's official HR file and local HR records to maintain a complete record of the injury and leave decisions made by the employee.

KEY_TOPICS: workplace injury, employee injury form, leave election, injury documentation, HR records, workers' compensation, employee leave options, injury reporting, personnel files, record retention

ATTACHMENTS:
  1. Employee Incident Notice
     URL: https://gps.press/sop-data/104.22-att-1/
  2. Notice of Injury and Leave Election Form
     URL: https://gps.press/sop-data/104.22-att-2/

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FULL TEXT:
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SOP 104.22
Attachment 2

5/27/20



















Record Retention: Upon completion, this form shall be retained permanently in the employee's official and local HR files.