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Click ‘Get Form’ to open the ru 91 document in the editor.
Begin by entering the employee's name, employer's name, and claim number in the designated fields. Ensure accuracy as this information is crucial for processing.
Fill in the job address, hours worked per day, and job title. This section provides context for the treating doctor regarding the employee's work environment.
In the 'Description of Job Responsibilities' section, detail all job duties clearly. This will help assess whether the employee can return to work.
For each activity listed (e.g., sitting, walking), check the frequency that applies to the employee’s role. Use the provided categories: Never, Occasionally, Frequently, or Constantly.
Indicate lifting and carrying requirements by selecting appropriate options based on height and distance. Describe any heaviest items carried in detail.
Answer yes or no to questions regarding job requirements such as driving or exposure to hazardous conditions. Provide brief descriptions if applicable.
Finally, ensure all signatures are collected from both employee and employer before submitting the form for review.
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If the injury is on or after 1/1/94, the claims administrator consults with the injured worker in completing the RU-91 and then submits it to the treating.Read more
DESCRIPTION OF EMPLOYEES JOB DUTIES. INSTRUCTIONS: This form shall be developed jointly by the employer and employee and is intended to describe theRead more
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