Sections
Home   About Us | Contacts | Services | Media Desk | Tenders | Vacancies
Site Map
Personal tools
You are here: Home Documents Forms Compensation for Occupational Injuries and Diseases Form W.CL.15 - Strain or Sprain Questionnaire
     Department of Labour Fraud line-08600 22 194   Public Employment services call centre
 
Document Actions

Form W.CL.15 - Strain or Sprain Questionnaire

by admin — last modified 2007-11-24 13:53

This document is used to report a sprain and/or strain that occured at work. This must be completed by a worker and submitted to the Compensation Fund.

What is The Purpose of This Form?

To report a strain and sprain to claim from the Compensation Fund.

Who Fills in This Form?

The worker.

Instructions

The worker must complete this form and sign it. It must then be submitted to the Compensation Fund in order to claim for injuries.

Download

To download a file, right-click on the link and select "Save Target As...".


Form - COID - WCL15 - Strain or Sprain Questionnaire.pdf

File Size: 37 KB


This icon indicates that the file is a Adobe Portable Document (PDF) file.  You must have the free Adobe Acrobat Reader installed on your computer in order to open the file. Download Adobe Reader — free software for viewing and printing Adobe Portable Document Format files.

Related Links


Copyright ©2014 The South African Department of Labour:
Home | Disclaimer | PAIA | Privacy PolicyWebmaster