EMS

Question 1

F215M

Answer 1

Rescue equipment loan receipt

Question 2

F903

Answer 2

Control medication inventory record

Expired broken controlled drug pharmacy reporting form

Lost missing controlled drug pharmacy reporting form

Los Angeles fire Department schedule drug monthly inspection report

Notice of privacy practices

Question 3

F3

Answer 3

Hazardous substance exposure report

Question 4

F420

Answer 4

Communicable disease exposure and notification report

Question 5

F165

Answer 5

Duty certificate

Question 6

F166B

Answer 6

Employers report of occupational injury or illness

Question 7

F1000

Answer 7

Injury status form

Question 8

F1000 MRSA

Answer 8

MRSA Injury status form

Question 9

F1107

Answer 9

Report of injury notification to the medical liaison unit

Exposure of Los Angeles fire Department employee

Post exposure facilities

Medical mileage expense form

Worker’s Compensation pre-designated physician form

Request for city employee illness injury exemption

Question 10

DWC FORM 9783

Answer 10

Pre-designation of personal physician

Question 11

DWC FORM 7

Answer 11

Notice to employees injuries caused by work civilian

Notice to employees injuries caused by work sworn

Question 12

FORM 5020

Answer 12

Occupational injury or illness report