Important Information Regarding Physical Examinations For Police Officers And Fireman
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Important Information Regarding Physical Examinations For Police Officers And Fireman Form. This is a Nevada form and can be use in Workers Comp.
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Important Information Regarding
Physical Examinations for
Police Officers and Firemen
Industrial insurance benefits are available to all qualified police officers and
firemen who acquire lung and heart diseases. To qualify, certain minimum
employment requirements must be met and firemen and police officers are
required to submit to physical examinations.
The implementation of these benefits requires the involvement and cooperation
of the employers, the police officers, firemen and volunteer firemen, the insurer
(SIIS), and the medical examiners.
Nevada Revised Statutes, NRS 617.455 and 617.457, provide that, under
certain circumstances, all lung and heart diseases for police officers and
firemen, and lung diseases for volunteer firemen, are conclusively presumed to
have arisen out of and in the course of employment.
The Nevada Administrative Code (NAC), Chapter 617, provides the
administrative requirements for all police officers and firemen who are required
to submit to physical examinations in order to receive industrial insurance
benefits pursuant to NRS 617.455 and 617.457. These requirements detail the
frequency of examinations, the minimum requirements of the exams, the duties
of the employer, and the duties of the employee. A copy of Chapter 617 of the
Nevada Administrative Code is attached.
Also attached are copies of the necessary forms; please copy them for your
own use. These forms are:
Firemen and Police Officers’ Medical History Form (OD-1)
Firemen and Police Officers’ Lung Examination Form (OD-2)
Firemen and Police Officers’ Extensive Heart Examination Form (OD-3)
Firemen and Police Officers’ Limited Heart Examination Form (OD-4)
Hearing Examination Form (OD-5)
Receipt of Forms From the Examiner (sample letter)
OD-7 (rev. 7/99)
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