Pennsylvania Code
Title 4 - ADMINISTRATION
Part V - EMERGENCY MANAGEMENT AGENCY
Chapter 115 - COMPENSATION BENEFITS FOR ACCIDENTAL INJURIES
Section 115.3 - Filing of accident reports; submission of claims

Universal Citation: 4 PA Code ยง 115.3

Current through Register Vol. 54, No. 38, September 21, 2024

Any duly enrolled civil defense volunteer who elects to make claim for compensation for accidental injury sustained while engaged in authorized civil defense or disaster training, test or operational activities shall, if physically able to do so:

(1) Notify the State Director of Civil Defense of the date, place, manner and nature of injury and request official forms and instructions relating to the filing of formal claim for compensation. The notice and request shall be submitted in letter form within 30 days immediately following the injury.

(2) File with the State Emergency Management Director a formal, notarized Compensation Claim-Accidental Injury Sustained by Duly Enrolled Volunteer Emergency Management (Form PEMA-A-CC-1, together with all required supporting documents. The claim shall be filed within eight months immediately following the injury.

This section cited in 4 Pa. Code § 115.4 (relating to incapacity of volunteer; Director to file accident report).

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