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SECOND INJURY FUND QUESTIONNAIRE AND MEDICAL INQUIRY (THIS FORM IS TO BE COMPLETED ONLY AFTER JOB OFFER HAS BEEN MADE) THE PURPOSE OF THIS QUESTIONNAIRE IS TO PROVIDE THE EMPLOYER WITH KNOWLEDGE ABOUT.

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The Second Injury Fund (SIF) is a state program that will make contributions toward your disability benefits in the event your previous injuries and disabilities, along with your current workers' compensation injury, render you entirely and permanently disabled.

This fund is designed to encourage employers to hire people with disabilities by limiting employers' liability for subsequent injuries. State Workers' Compensation programs do not apply to all employees. Some types of workers are covered by federal laws which preclude coverage at the state level.

The Second Injury Fund is a state-administered Fund with the ultimate goal of helping previously injured and disabled workers get back to work. It is designed to protect future employers of these disabled workers from liability for compensation related to a subsequent, new work injury.

The Second Injury Fund pays compensation on behalf of an employer to an employee who has already suffered a prior disabling injury, and now sustains a subsequent injury, and the combination of the two injuries creates a greater disability than the second injury would have created by itself.

The Second Injury Fund (SIF) is a state program that will make contributions toward your disability benefits in the event your previous injuries and disabilities, along with your current workers' compensation injury, render you entirely and permanently disabled.

Part 2 of the Worker Comp policy covers: Employer Liability. Work Comp insurance covers: occupational diseases.

The SIF reduces the liability for employers who hire employees with pre-existing conditions. If an employee is injured at work, the SIF works to compensate the employee for the pre-existing condition while the employer focuses on the new injury.

The Second Injury Fund was created in 1923 to make benefit payments to to- tally and permanently disabled workers in cases where the cause of disability was subsequent to a prior disability render- ing the worker permanently and partially disabled.

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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
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
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 WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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