General Information | Audit Instructions | Audit Messages
Used to move an employee to non-pay status after appropriate leave credits have been exhausted but the employee's claim for disability is still pending.
205 - Transaction Code
210 - Effective Date
215 - Employment History Remarks
565 - Injury / Illness Code
565 - Injury / Illness Date
One or more components required
565 - Injury / Illness Benefits Date
606 - Time to be Paid (New Position)
719 - Detail Transaction Code
957 - Eligibility Substantiation (Line G Item)
Delete codes 40 and 41 only
The Injury/Illness Date may be the date the injury/illness is reported if the date that it actually occurred is not known.
Benefits Date is not required for a 565 - Code 7 transaction.
Item 215 may be used to record the employee’s first day off work.
Refer to Special Instructions, Transaction S49, and Item 565 for explanation of various codes and processing requirements.
When there is a prior 565 transaction, the benefit date will carry forward into the new 565 transaction. Enter an asterisk (*) to delete the old date.
Refer to Transaction S49 if claim is denied.
Last Updated: October 17, 2006