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Click ‘Get Form’ to open the csibs1 p1 document in the editor.
Begin by filling out your personal details in the 'Your Details' section. Include your title, name, date of birth, and contact information.
In the 'Medical Consent Form 1' section, read through the consent information carefully. If you agree to allow Capita Health & Wellbeing to contact your medical practitioners, mark the consent box and provide your signature and date.
Proceed to answer whether you wish to see the medical report before it is sent. Mark 'YES' or 'NO' accordingly.
Complete any additional Medical Information Consent Forms as necessary for each medical practitioner you authorize Capita Health & Wellbeing to contact.
Review all sections for accuracy and completeness before submitting the form back to your employer.
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TIA is paid by employers to staff on authorised absence with reduced pay or no pay because of an injury or disease wholly or mainly attributable to their employment. TIA tops up the employees income to 85% of the average pay they were receiving before their pay was reduced as a result of the injury or disease.
What is the difference between ill health and injury?
Illness Benefit is paid for a maximum of: 2 years (624 payment days) if you have at least 260 weeks of social insurance contributions paid since you first started work.
What is the maximum lump sum for civil service pension?
Currently the limit is 25% of the total notional value of your pension benefits. The maximum lump sum you can take will be your pension times 33/14 and this will be shown on your pension estimate.
What is the difference between injury and illness?
Injury Benefit is not paid for the first 3 days of your illness or incapacity (when you are unfit to work). You can get Injury Benefit for up to 26 weeks (6 months). If you are still unable to work after 26 weeks, you may get Illness Benefit, Disability Allowance or Supplementary Welfare Allowance.
What are the civil service injury benefits?
Injury benefit is paid to bring your income up to a guaranteed level if you are injured while on duty. It may be paid to you or your dependants if you are killed on duty. The Civil Service Injury Benefit Scheme (CSIBS) rules set out who can receive the benefits and the level of the guaranteed income.
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CERTIFICATION OF HEALTH CARE PROVIDER - California
For injuries, the focus is on a specific event, while illnesses often stem from exposure over time. OSHAs recordkeeping guidelines emphasize that injuries involve immediate harm (e.g., fractures, sprains), whereas illnesses include chronic conditions (e.g., respiratory disorders, skin diseases).
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