The following documentary evidence is required in order to process a claim:

A completed accident report listing the wages paid including overtime etc. for the twelve months prior to injury.

• A list of wages paid to the employee during  the period of illness, by way of payment vouchers or signed statement by the employee
• Completed Acknowledgement of Injury Reimbursement Form signed by both the company and the injured employee
• Sick leave certificates for the entire period of injury leave
• Final fitness certificate from the Doctor pronouncing the employee fit to resume normal duties and advising whether the employee has suffered any permanent partial disability
• Bills for medical expenses up to the policy limit and proof of the company’s payment of the company’s payment of medical bills

Please note that it is important that the injured employees are advised that any payment made to them during injury leave is compensation in accordance with the Workmen’s Compensation Act and that the Acknowledgement of Reimbursement Form is signed by all injured employees.  These forms are to be submitted to CIC along with the Claim Form and supporting documents.

Finalisation of a claim can only be accomplished when the injured employee receives his final fitness certificate; or in the case of an employee who has suffered a Permanent Partial Disability (PPD), a medical report detailing the percentage disability is submitted.

The injury leave wages formula is:-

(2/3 of average monthly earnings based on  wages for 52 weeks prior to accident   x number of days sick leave) / 30 days