Last Updated: 3/27/2019 7:52:47 AM
Employee Name
Enter the name of the Employee for whom you are searching.
Field Descriptions and Instructions
COP Not to Exceed Date Field Instruction
COP Status Field Description
COP Status Field Instruction - Search
COP Used to Date Field Description
Date of Injury Field Description
Date of Injury Field Instruction (Required)
Date of Injury Field Instruction - Search
Employee Field Description
Employee Field Instruction (Required)
Injury Number Field Description
Injury Number Field Instruction - Search
Organization Field Description
Organization Field Instruction - Search
Password Field Instruction
Password Field Instruction - webTA
Return to Work Date Field Description
Return to Work Date Field Instruction
Termination Date Field Instruction (Required)
Termination Remarks Field Instruction (Required)
User ID Field Description
User ID Field Instruction
User ID Field Instruction - webTA
User ID Field Instruction - Search