With this type of documentation available, would you speak with your Employment Manager with-out bringing this form?
The "missing dates" (8/17/01-8/21/01) are due to the Claimant having been on a pre-approved Vacation Time that does not qualify for time-loss, this was discussed with the Dr., that there was no need to "write" the Claimant "off work" during these dates.
The above "note", releasing the Claimant from working due to the "work-related injury", is the form that the Claimant presented to the Employer on the date of Aug. 23, 2001, yet the Employer told the State (Unemployment) and the Dept. of L&I, originally, the Claimant "quit" and did not supply any "note" from her Dr., at a later date they reversed their "story" and admitted that they "terminated" Claimants Employment.
Yet the State of Washington has done nothing to the Employer,
Gene Juarez Salons, Inc.
for their violation of the state law, RCW 50.36.
The letter below clearly states that the Claimant was not to be engaged in "work activities", from July 24, 2001 thru June 4, 2002 (at that time, "modified" work) on the advise of her Dr., yet the Dept. of L&I has never paid the time-loss, nor has the state ever charged the Employer with any wrong doing.

The different last name on the forms is due to a recent marriage that the Dr's Office had not yet up-dated in their files.
CRC, Citizens Representing Citizens
Copyright © 2002 & unregistered
TM
Home Page