This handout includes sample documentation healthcare professionals can customize for patients who are seeking workplace accommodations. The following letter is only intended as a.SAMPLE Letter of Medical Necessity that outlines the information a payer may request. These sample letters can be used in various circumstances you may encounter that require you to communicate with insurance companies. This booklet includes the forms needed for maintaining occupational injury and illness records. Many but not all employers must complete the OSHA injury and. Put pen to paper, wish them well, think of all the things you'd like someone to say to you when you're sick, draw pictures, make it fun. I have suffered from mental illness for a long time. I know how hard it can be. 4. If the case is recordable, decide which form you will fill out as the injury and illness incident report.