- A. A claim against the last employer for combined disabilities shall be commenced by filing an executed Form 3-e, Employee's Claim for Benefits for Combined Disabilities Against the Last Employer. The Form 3-e shall list each of the claimant's prior adjudicated claims, the date of each injury, the Court claim number and the percentage of disability awarded for each injury. If the claimant claims a pre-existing obvious and apparent disability, the disability shall be fully described on the Form 3-e, but no percentage of impairment need be included. A Form 9 shall be filed to request a hearing.
- B. At the time of filing the Form 3-e, the claimant or the claimant's attorney shall certify that a true and correct copy thereof has been mailed to the last employer or its counsel.
- C. The notation on the Form 3 or 3-b that the claimant is a previously impaired person shall not be deemed to commence a claim against the last employer for combined disabilities. The Form 3-e must be filed in the claim in which benefits are sought and shall use that same Court claim number.
- D. All requests for the appointment of an independent medical examiner shall be governed by 85 O.S., Section 17(D) and these rules.
Adopted by order of the Supreme Court, 2001 OK 46, eff. July 1, 2001; Amended by order of the Supreme Court, 2002 OK 6, eff. March 1, 2002.