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  • Form 100c - Iowa Workforce Development

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(TYPE OR PRINT) 14-0011 (11/06) FORM 100C BEFORE THE IOWA WORKERS' COMPENSATION COMMISSIONER Claimant VS. File Number Employer ORIGINAL NOTICE, PETITION, AND ANSWER CONCERNING APPLICATION FOR ALTERNATE.

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Temporary total disability (TTD), healing period (HP), permanent partial disability (PPD) or permanent total disability (PTD) benefits are paid at a weekly workers' compensation rate considering your marital status and number of exemptions. Generally, the rate is 80% of your spendable earnings before any deductions.

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.

Statewide average weekly wage is $1,040.56. 35% of statewide average weekly wage is $364.00. The basis of compensation shall be the gross weekly earnings of the injured employee at the time of the injury.

CALCULATION OF AVERAGE WEEKLY WAGE* Hourly employees: Computed by dividing by 13 the wages, including overtime hours at the straight time rate, earned from employer for the 13 consecutive calendar weeks immediately preceding the injury.

If you generally worked five days per week, your AWW will be set by dividing your total salary by the total number of days paid, then multiplying the result by 260, and dividing that total by 52.

As a starting point, an injured worker's weekly rate is about 80% of their average weekly earnings after taxes, or approximately 60% of the injured worker's gross – as in, before taxes – weekly wages.

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© Copyright 1997-2025
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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