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The Employer s Report of Occupational Injury or Disease form LIBC-344 should be completed even if medical treatment is not necessary. Employer s Report of Occupational Injury or Disease Form LIBC-344 Injury Report must be completed front and back and returned to Shari Heffner in the Office of Human Resources Room 118 Alumni Hall. Injury Reports can be faxed to 570 662-4117. Reporting Instructions for LIBC-344 Employer s Report of Occupational Inj.

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How Much Money Will I get from my Workers Compensation Claim and How is it Calculated? ing to the Workers' Compensation Act, injured workers are entitled to wage-loss benefits equal to two-thirds of their weekly wage for a work-related injury.

You must be disabled more than seven calendar days (including weekends) before WC payments for disability are payable. Benefits for time lost from work are payable on the eighth day after injury. Once you have been off work 14 days, you receive retroactive payment for the first seven days.

In Pennsylvania, the 90-day rule states that injured workers must initially see "panel physicians”—a list of pre-approved doctors posted by the employer—within 90 days of their workplace injury to receive compensation. If they see a different doctor, workers' compensation won't necessarily have to cover the cost.

Form LIBC-378 is a Section 413 Petition and the document utilized when an action implicating the workers' compensation award is initiated, in check-the-box format.

Workers' Compensation Waiting Period This action should take place as soon as the employee has been out of the workplace for seven (7) calendar days AND has been approved for Workers' Compensation benefits.

Pennsylvania law allows employers to fire or lay off workers while they have an open workers' compensation claim, but the employer must have a reason that shows they are not retaliating for the injury claim.

Form LIBC-344 First Report of Injury (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.

Workers' compensation wage loss benefits are calculated based upon what is called the injured worker's "average weekly wage." The average weekly wage is generally 2/3rds of the amount a worker had earned before getting hurt on the job. There are exceptions to this rule.

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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