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  • Mn Dept Of Labor And Industry First Report Of Injury Form

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Minnesota Department of Labor and Industry Workers' Compensation Division PO Box 64221 St. Paul, MN 55164-0221 (651) 284-5030 Reset First Report of Injury See Instructions on Reverse Side PRINT IN.

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If your claim has been accepted by your employer and its workers' compensation insurer or you begin to receive benefits pursuant to an Order from the court, your workers' compensation claim file will remain open as long as you have benefits available.

First Report of Injury, Occupational Disease, or Death (FROI)

The maximum time frame for temporary total disability benefits is 130 weeks. Compensation time depends on your injury, but you may be able to predict the results by consulting with your doctor regarding healing time and any rehabilitation time.

Within 14 days – If you tell your employer within 14 days after your injury, your notice is on time. The employer cannot deny your workers' compensation claim because you gave late notice of the injury.

The Minnesota Workers Compensation Laws represent a trade-off of sorts for the employee: the employee is guaranteed compensation for any employment-related injury regardless of fault; but the nature and extent of benefits is limited to that provided by the Act.

Form IA-1 Employer's First Report of Injury or Occupational Disease (FROI). As soon as you have been notified of a work-related injury, please fill out this form and submit it to EMPLOYERS. This form must be completed within 10 days from notice of a work-related injury. Fatalities must be reported within 24 hours.

This range can be three to seven years. That said, there is not usually a limit on permanent disability benefits. However, some states do stop weekly benefits when employees reach the age of 65. Also keep in mind that not all states will provide permanent partial disability benefits.

The minimum weekly compensation payable is $130 per week or the injured employee's actual weekly wage, whichever is less.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232