The West Virginia Employee's & Physicians' Report of Occupational Hearing Loss is a mandatory form that must be completed and submitted by West Virginia employers and physicians when a worker has experienced or is likely to experience a hearing loss due to their employment. It is part of the West Virginia Department of Labor's Injury and Illness Prevention Program. The report must be completed by the employer and physician, and is used to document the noise exposure levels that the worker has been exposed to, and the medical evaluation and treatment that has been provided. The report should include details on the type of hearing loss, the duration and intensity of exposure, and the type of protective equipment used. It also includes questions related to the employee's medical history and any other relevant information. There are two types of West Virginia Employee's & Physicians' Report of Occupational Hearing Loss: the initial report and the annual report. The initial report is required when an employee experiences a hearing loss, and the annual report is required each year thereafter to monitor the employee's hearing.
West Virginia Employee's & Physicians' Report of Occupational Hearing Loss
Description
How to fill out West Virginia Employee's & Physicians' Report Of Occupational Hearing Loss?
US Legal Forms is the most straightforward and affordable way to find appropriate legal templates. It’s the most extensive online library of business and personal legal paperwork drafted and verified by lawyers. Here, you can find printable and fillable blanks that comply with federal and local laws - just like your West Virginia Employee's & Physicians' Report of Occupational Hearing Loss.
Obtaining your template requires just a couple of simple steps. Users that already have an account with a valid subscription only need to log in to the website and download the document on their device. Afterwards, they can find it in their profile in the My Forms tab.
And here’s how you can get a properly drafted West Virginia Employee's & Physicians' Report of Occupational Hearing Loss if you are using US Legal Forms for the first time:
- Read the form description or preview the document to make certain you’ve found the one corresponding to your demands, or find another one utilizing the search tab above.
- Click Buy now when you’re sure of its compatibility with all the requirements, and judge the subscription plan you prefer most.
- Register for an account with our service, log in, and pay for your subscription using PayPal or you credit card.
- Select the preferred file format for your West Virginia Employee's & Physicians' Report of Occupational Hearing Loss and save it on your device with the appropriate button.
After you save a template, you can reaccess it anytime - just find it in your profile, re-download it for printing and manual fill-out or import it to an online editor to fill it out and sign more proficiently.
Take advantage of US Legal Forms, your trustworthy assistant in obtaining the corresponding official paperwork. Give it a try!