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Board Rule 61b42 Form Wcr1request For Rehabilitation

The employer/insurer shall file:

(A)  Within 48 hours of the employer’s acceptance of a catastrophic injury as compensable, simultaneously with the Form WC-1, naming a catastrophic supplier;

(B)  Within 15 days of notification that rehabilitation is required to request a rehabilitation supplier;

(C)  When the employer/insurer requests a supplier for cases with dates of injury prior to July 1, 1992;

(D)  When the employer/insurer requests a change of supplier;

(E)  To request reopening of rehabilitation; or

(F)  Upon request of the Board.

The employee or employee’s attorney shall file a Form WC-R1 to request appointment of a supplier for cases with dates of injury prior to July 1, 1992, for change of supplier or reopening of rehabilitation.

A case party shall file a Form WC-R1 when a stipulated settlement provides for rehabilitation and rehabilitation is not already on the case.  A case party may file a Form WC-R1 to request an extension of vocational rehabilitation services for cases with dates of injury prior to July 1, 1992.

All required information shall be supplied and shall be legible.  The certificate of service must be completed and the date mailed must be indicated.

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