Indiana Workers' Compensation Acknowledgment Form
Description
How to fill out Workers' Compensation Acknowledgment Form?
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FAQ
If a doctor orders an employee not to work, Indiana workers' compensation may cover two-thirds of an employee's average weekly wage. The maximum weekly wage for an accident that happened after July 1, 2006 is $600. Filing workers' comp claims in a timely manner is important to ensure your employees receive benefits.
DWC-1 Workers Compensation Claim Form. This is the form you will complete and send to EMPLOYERS to initiate the claim process for your employee. This form must be completed and provided to EMPLOYERS within one working day from you becoming aware of a work-related injury or occupational disease.
There is a 7-day waiting period before the first temporary total disability (TTD) check is owed. If a worker cannot work for 21 days, the employer must then pay the first 7 days of lost wages.
In Indiana, these benefits are calculated as two-thirds of your average weekly wage during the year before your injury, up to a legal maximum. Indiana has kept that cap quite low compared to other states.
In Indiana, the maximum average weekly wage for determining benefits is $1,170 (as of 2020). That equates to a maximum TTD benefit of $780 per week. TTD benefits last for a maximum of 500 weeks or until the worker reaches maximum medical improvement.
Filling out a DWC-1 form is actually pretty straightforward....On the form, you will need to only fill out the Employee section, which asks for basic information:Name, date, and address.Date and location of injury.Brief description of injury.List of injured body parts.Social Security Number.
DWC-1 Workers Compensation Claim Form. This is the form you will complete and send to EMPLOYERS to initiate the claim process for your employee. This form must be completed and provided to EMPLOYERS within one working day from you becoming aware of a work-related injury or occupational disease.
A: If you are unable to work (temporarily totally disabled), you will receive two-thirds of your average weekly wage for the past 52 weeks, but not more than the statutory maximum outlined here.
While there's no enforceable rule on how soon the settlement check is to be released after expiration of the 30 days, it's typically one to two weeks.
