Santa Clara Fire and Police Department Workers' Compensation Process Survey

General

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Question Title

* 1. What department do you work in?

Law Enforcement

Fire Department

Question Title

* 2. Have you filled out the form with your employer to pre-designate a physician for work related injuries or illnesses?

Yes

Don't know

Question Title

* 3. Which of the following best describes your employment status?

Employed, working full-time

Retired