pre-employment physical condition statements.

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A. It is the duty of the worker at the time of the worker’s employment or thereafter at the request of the employer to submit to examination by a physician or surgeon duly authorized to practice medicine in the state, or by a physician assistant, advanced practice registered nurse or certified nurse-midwife working within that person’s scope of practice, who shall be paid by the employer, for the purpose of determining the worker’s physical condition.

B. It is also the duty of the worker, if required, to give the names, addresses, relationship and degree of dependency of the worker’s dependents, if any, or any subsequent change thereof to the employer, and when the employer or the employer’s insurance carrier requires, the worker shall make a detailed verified statement relating to such dependents, matters of employment and other information incident thereto.

C. It is also the duty of the worker, if requested by the employer or the employer’s insurance carrier, to make a detailed verified statement as part of an application for employment disclosing specifically any preexisting permanent physical impairment.