District of Columbia Injury Absence Report

State:
Multi-State
Control #:
US-AHI-276
Format:
Word; 
Rich Text
Instant download
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Public form

Description

This AHI form is used to document an absence due to work-related injury. The form also includes the number of hours lost due to the injury. This form must be submitted prior to the close each pay period.

How to fill out Injury Absence Report?

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FAQ

Almost all workers in D.C. are covered by the paid sick and safe leave law, including both part-time and full-time workers and tipped restaurant workers. If you are sick, injured, or have a medical appointment, you can be paid for time away from work to recover or to go to the doctor.

Washington, D.C.'s permanent paid sick time law gives workers sick time that can be used to recover from physical/mental illness or injury; to seek medical diagnosis, treatment, or preventative care; to care for a family member who is ill or needs medical diagnosis, treatment, or preventative care; or to address needs

The employer must report a workplace injury within 7 days or within 14 days of finding out that you have an occupational disease.

Sick leave for employees accrues as follows: Employers with 100 or more employees must provide each employee at least 1 hour of paid leave for every 37 hours worked, capped at 7 days of leave per year.

NB: A report must be received within 10 days of the incident. For accidents resulting in the over-seven-day incapacitation of a worker, you must notify the enforcing authority within 15 days of the incident, using the appropriate online form.

The District of Columbia Family and Medical Leave Act (DCFMLA) requires employers with 20 or more employees to provide eligible employees with 16 weeks of unpaid family leave and 16 weeks of unpaid medical leave during a 24 month period.

Employer Requirements If an employer has 100 or more employees, the employer must provide each employee not less than one (1) hour of paid sick leave for every 37 hours worked by an employee. An employer may cap the annual accrual of sick leave for each employee at 7 days.

The employer must report a workplace injury within 7 days or within 14 days of finding out that you have an occupational disease. You should check that all the details on the form are correct.

Almost all workers in D.C. are covered by the paid sick and safe leave law, including both part-time and full-time workers and tipped restaurant workers. If you are sick, injured, or have a medical appointment, you can be paid for time away from work to recover or to go to the doctor.

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District of Columbia Injury Absence Report