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Form SFN60497 Work Loss - Physician's Report - North Dakota
What Is Form SFN60497?
This is a legal form that was released by the North Dakota Department of Corrections & Rehabilitation - a government authority operating within North Dakota. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form SFN60497?
A: Form SFN60497 is the Work Loss - Physician's Report for North Dakota.
Q: Who needs to fill out Form SFN60497?
A: Physicians in North Dakota need to fill out Form SFN60497.
Q: What is the purpose of Form SFN60497?
A: Form SFN60497 is used to report work-related injuries or illnesses and the resulting work loss.
Q: What information is required on Form SFN60497?
A: Form SFN60497 requires information about the injured person's job duties, work restrictions, and the duration of work loss.
Q: Do I need to submit Form SFN60497 to my employer?
A: Yes, Form SFN60497 should be submitted to your employer, who will then forward it to their workers' compensation insurance carrier.
Form Details:
- Released on June 1, 2018;
- The latest edition provided by the North Dakota Department of Corrections & Rehabilitation;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of Form SFN60497 by clicking the link below or browse more documents and templates provided by the North Dakota Department of Corrections & Rehabilitation.
