Worker's Compensation

All employees who have a work related injury must notify their supervisor immediately (within 24 hours). Supervisor and employee must complete the appropriate forms. The forms must be forwarded to the Human Resource Department at the Town Hall within 48 hours of the injury.

Supervisor Report of Accident Intake Form - See 2nd Page for Clarification of Cause; Body Part; Nature; Occupation)

Employee Statement of Injury

Medical Release Authorization - Employee's Signature Required

Norfolk County Retirement Notice of Injury - Only Employees who have Deductions taken for NCR

Return to Work Certification - TBD