CLASSIFICATION |
FORM NUMBER |
ASSIGNMENT |
ADDITIONAL INFORMATION |
---|---|---|---|
4-06/045.00 |
|
|
|
Employee exposed to |
SH-R-426 |
Disability Management Compliance Unit A |
Prepare an original and one copy of Form SH-R-426, Hazardous Materials Injury/Toxic Substances/Communicable Disease Exposure Report for each Deputy involved and submit both copies to Return to Work Unit. Use original URN. If a Reserve Deputy involved, also send a copy to Reserve Forces Bureau. Additional copies to meet Unit needs. NOTE: Custody Division personnel refer to Custody Division Order #53. Code 502 - Injury to County Employee. |
Sheriff's Deputy |
SH-R-426 |
Disability Management Compliance Unit A |
Prepare an original and one copy of Form SH-R-426 for each Deputy involved and submit both copies to Return to Work Unit. Use original URN. If a Reserve Deputy involved, also send a copy to Reserve Forces Bureau. Additional copies to meet Unit needs. NOTE: Custody Division personnel are exempt, provided the Unit Commander determines that adequate documentation is maintained of an employee contact with a communicable disease. Code 502 - Injury to County Employee. |