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  • Wcb C688

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See WCB fact sheet W-08-08/03 for information Pay To Worker's Name: (Surname) Address Street C688 WORKER TRAVEL & EXPENSE RECORD Claim Number: (Initial) (First Name) City/Town Province (Postal.

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... Title 5, section 13083-A; and. X. The Workers' Compensation Board under Title 39-A...
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An employee's injury must qualify for benefits under the Workers' Compensation Act for the employee to earn Workers' Compensation Supplement. The department pays entitlements. If employees are injured on the job, they will be paid at their regular full salary for up to 80 days.

WCB is funded entirely by employers. Employers and workers have immunity against lawsuits for work-related accidents by others who are also protected under the system. Compensation should be fair and take into account both the nature of the injury and the impact on employment earnings.

WCB will cover many of the costs associated with hospitalization, including ambulance costs, hospital accommodations, and spousal benefits. Support and assistance is provided in the forms of devices and aids, allowances and services for increasing independence, and skills training.

Report your injury in the myWCB worker mobile app, or by completing a report of injury [PDF, 0.24MB] form right away, containing the details of your injury/illness, will help us to make correct and timely decisions for you. You can get this form from your employer, here on our website or at any WCB office.

The Accident Fund will absorb the $0.25 gap between the collected rate ($1.17) and the required rate ($1.42). For 2022, the Accident Fund is covering over $265 million in employer premiums.

A maximum compensable earnings amount set by our Board of Directors is once again in place. Compensation benefits are based on 90% of your net income, payable up to the 2021 maximum amount ($98,700 in 2021). This means if you earn more than the maximum, your compensation rate is based on the maximum amount.

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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