When Participating Company's employee has had a slip and fall accident while wearing Shoes For Crews® footwear purchased through a corporate shoe purchasing program, please do the following:
The facility manager where the accident occurred or Participating Company's claims administrator must fill out the Shoes For Crews Slip and Fall Accident/Incident Report. The form must be completed, signed and forwarded to Participating Company's corporate Safety/Risk Manager or the person in Participating Company responsible for safety and risk management.
Participating Company's safety and risk management representative must forward the following documents to Shoes For Crews, within sixty (60) days of the accident date:
Send the Statement Expenses and Slip and Fall Accident/Incident Report related to the slip and fall accident to Shoes For Crews for processing as soon as the report or statement given to the Participating Company by or on behalf of the WSIB is available.
Shoes For Crews may reimburse up to a maximum of $5,000 per individual claim, limited to 20% of Participating Company's year-to-date purchases from Shoes For Crews during the calendar year in which the accident occurred. Once documentation of the payment of Statement Expenses related to the slip and fall accident has been received, reimbursement will be made. (Please see the Limited Warranty for details.)
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Note: To qualify for the Shoes For Crews Slip and Fall Limited Warranty, all claims for reimbursement must include the employee's name and employee ID number to verify the purchase of Shoes For Crews® footwear.
Not responsible for any typographical errors. The terms of this Limited Warranty are subject to change by Shoes For Crews at any time without notice to Participating Company.
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