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  • Request For Hearing - Contested Claim - Naiw Nv

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REQUEST FOR HEARING - CONTESTED CLAIM (Pursuant to NAC 616C.274) REPLY TO: Department of Administration Hearings Division 1050 E. William Street, Ste. 400 Carson City, NV 89701 (775) 687-8440 OR Department.

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Workers' compensation is a no-fault insurance program in the State of Nevada, which provides benefits to employees who are injured on the job and protection to employers who have provided coverage at the time of injury.

Is there a waiting period for workers' compensation coverage? No. From the moment they are hired, employees are covered by the applicable statutes and regulations of Nevada Revised Statutes and Nevada Administrative Code 616 and 617 and must be insured by their employers.

Injured workers must report their injury to a supervisor within seven days. This incident report is called the Notice of Injury or Occupational Disease (Form C-1).

Filing a Claim Under Nevada law, you must report your injury within seven days. To make a claim, you will need to have a doctor sign off on your initial treatment. This will require a specific form. You must complete this form and have it signed and turned in within 90 days of your injury to make a workers' comp claim.

Within seven days of the injury, you should notify the employer and submit an Incident Report. If you require medical treatment or miss work, you should fill out an Employee's Claim for Compensation.

Filing A Workers' Compensation Claim The C-4 form is titled “Employee's Claim for Compensation/Report of Initial Treatment”. The physician fills out their part of the form, and sends a copy to your employer and the insurer. Be sure to get a copy for your records.

How long do I have to file a claim? In Nevada, you have just 90 days from your accident, injury, or diagnosis of an occupational disease to file a workers' compensation claim. There are some exceptions, however.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
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