Section Lab 504.03 - Job Modification Reimbursement(a) Employers who desire to invoke the reimbursement provisions of RSA 281-A: 54, IX, shall file proof of eligibility with the department. The reimbursement request shall be preceded by submission of the plan for modification to the commissioner.(b) In order for the plan to be approved by the commissioner, the plan shall include: (1) Supporting documentation showing proposed costs for labor services, material and equipment;(2) A statement itemizing and describing the specific job modifications which are necessary as a result of the employee's impairment from the work related injury with the employer; and(3) Medical evidence indicating that the employee has been released for work or will be released for work.(c) After approval of the plan by the commissioner, and after completion of all job modifications, the employer shall certify to the department in letter form the expenditures accompanied by the signature of the employee.N.H. Admin. Code § Lab 504.03
#5041, eff 1-9-91; ss by #5235, eff 9-27-91, EXPIRED: 9-27-97
New. #6631, INTERIM, eff 11-16-97, EXPIRED: 3-16-98
New. #6806, eff 7-18-98); ss by #8682, INTERIM, eff 7-15-06, EXPIRED: 1-11-07
New. #9019, eff 11-1-07
Amended by, Volume XXXVI Number 14, Filed April 7, 2016, Proposed by #11067, Effective 4/1/2016, Expires 4/1/2026.