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Injured worker progress 1 The injured worker is progressing: As expected Better than expected Slower than expected If a MEDCO-14 was previously completed for this injured worker, are there any changes to the information provided in Section 2 through 7 to report at this time? Yes No If yes, proceed to section 2. If no, proceed to section 8. Work status 2 Did you review a description of the injured worker s job duties as they existed on the date of injury (former positi.

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Effective July 1 – December 31, 2022, the automobile mileage reimbursement rate is 62.5 cents per mile. Effective January 1 – June 30, 2022, the automobile mileage reimbursement rate is 58.5 cents per mile. Grantees may claim reimbursement retroactively for this rate for the effective dates.

Mileage Reimbursement Rates YearRate202156 cents202057.5 cents201958 cents201854.5 cents2 more rows

The form is used to report the injury or illness to the Ohio Bureau of Workers' Compensation (BWC), and to seek medical benefits and other relief available under Ohio's workers' compensation law. The form must be completed by the injured worker, the employer, and any doctor who treated the worker.

In connection with the above workers compensation case, you are entitled to be reimbursed for (1) medications or supplies properly prescribed by your health care provider that you paid for yourself and for (2) fares, automobile mileage or other necessary expenses going to and from your health care provider's office or ...

What is M & T Reimbursement? New York's Workers' Compensation Law requires the employer/carrier to reimburse the claimant for out-of-pocket expenses for certain medication, durable medical goods, and mileage (currently $0.56 per mile). These “M & T” expenses are typically mileage expense requests.

How much is mileage reimbursement in California? The standard mileage rate set by the IRS, applicable in California, is 65.5 cents per business mile from January 1st, 2023.

In ance with the New York State Workers' Compensation Board (Board) resolution adopted on February 20, 1990, the Board publishes the mileage rate for reimbursement to injured workers for travel by automobile on or after January 1st of each year. The rate on or after January 1, 2023, is 65.5 cents per mile.

The mileage reimbursement rate for July 1 - Sept. 30, 2022 is 53¢ per mile.

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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
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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