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  • Before The Iowa Industrial Commissioner. Original Notice And Petition

Get Before The Iowa Industrial Commissioner. Original Notice And Petition

BEFORE THE IOWA WORKERS COMPENSATION COMMISSIONER FILE NUMBER ORIGINAL NOTICE AND PETITION FORM NO. 100 -- (14-0005) 07-09 (SEE INSTRUCTIONS ON REVERSE SIDE) Arbitration (86.14) Dependency (85.42,.

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If you're pursuing a workers' compensation claim in Iowa, the best way to check on your workers' comp status is to contact your attorney, who will communicate with the workers' compensation insurer and even your employer or the Iowa Division of Workers' Compensation.

The injured employee's weekly benefit rate is based on 80% of the employee's weekly spendable earnings but is not to exceed the maximum allowable weekly rate at the time of the injury. Maximum weekly rate for TTD, HP, PTD and death benefits is $2,081.00 . Maximum weekly rate for PPD benefits is $1,915.00.

Your employees have 90 days to notify you of an injury or illness. You or your insurance company will then have to electronically file a “First Report of Injury or Illness” report within four days. Once a claim is filed, your injured or sick employee can receive workers' compensation benefits.

Commissioner Joseph S. Branstad appointed Commissioner Cortese. He was confirmed by the Iowa Senate, and serve a full term from 2015 through 2021. In 2021, Gov. Kim Reynolds appointed Commissioner Cortese to serve a second term.

Protecting Your Rights as a Worker Notify Your Employer of Your Injuries. ... Have Your Employer File a First Report of Injury Form With the Iowa Workforce Development. ... Fill Out a Claimant's Statement and Authorization for Release of Information Form. ... You Must File These Forms to Receive Workers' Compensation.

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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
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 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