(1) A request for an
assessment of a worker’s degree of permanent impairment must be in the
approved form.
(2) The request must
contain all information that the approved form indicates is required.
(3) The regulations
may make provision for or with respect to the circumstances in which, and the
persons by whom, a request for assessment of a worker’s degree of
permanent impairment can or must be made.
(4) The regulations
may require a worker who requests an assessment of the worker’s degree
of permanent impairment to provide any information described in the
regulations for use in dealing with the request.