HAR §12-10-30
HAR §12-10-30. Documentation of claims
Cite as Haw. Code R. § 12-10-30
(a) If an employer denies compensability of
a claim and the employee disagrees, the employee shall file form WC-5 which shall be
provided to the employee by the department. The WC-5 shall authorize the release of
medical documents pertaining to or having a bearing on the injury.
12
(b) If an employer fails to file form WC-1 and the employee wishes to pursue a
claim, the employee shall file form WC-5 which shall be provided by the department.
(c) If a dependent of a deceased claimant wishes to pursue a claim, the
dependent shall file form WC-5a, which shall be provided by the department. The WC-
5a shall authorize the release of medical documents pertaining to or having a bearing
on the injury.
(d) Any request for reopening of any claim pursuant to section 386-89(c), HRS,
shall be accompanied by medical information or any other substantial evidence
showing a change in or of a mistake in a determination of fact related to the
physical condition of the injured employee. [Eff: 12/17/82; am 12/8/94] (Auth:
HRS §§386-71, 386-72, 386-82) (Imp: HRS §§386-21, 386-81, 386-89)