HRD Form 412 Time off for Treatment of Industrial Injury - Hawaii

What Is HRD Form 412?

This is a legal form that was released by the Hawaii Department of Human Resources Development - a government authority operating within Hawaii. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is HRD Form 412?
A: HRD Form 412 is a form used for requesting time off for treatment of an industrial injury in Hawaii.

Q: Who can use HRD Form 412?
A: Employees who have sustained an industrial injury in Hawaii can use HRD Form 412 to request time off for treatment.

Q: What is the purpose of HRD Form 412?
A: The purpose of HRD Form 412 is to provide employees with a means to request time off for medical treatment related to an industrial injury.

Q: What information is required on HRD Form 412?
A: HRD Form 412 requires information such as employee details, injury details, treating physician information, and dates/times of treatment appointments.

Q: How long can an employee take time off for treatment using HRD Form 412?
A: The length of permitted time off for treatment using HRD Form 412 will vary depending on the circumstances and the recommendation of the treating physician.

Q: Can an employee be paid for time off used for treatment?
A: Whether an employee will be paid for time off used for treatment will depend on the employer's policies and any applicable workers' compensation laws.

Q: What should an employee do after completing HRD Form 412?
A: After completing HRD Form 412, the employee should submit the form to their supervisor or employer for review and approval.