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First Report Worker LAST NAME FIRST NAME M.I. HOME ADDRESS EDUCATION SHCOOL LESS THAN HIGH SOCIAL SECURITY NUMBER GED OR HIGH SCHOOL EMPLOYMENT STATUS NUMBER OF DAYS WORKED PER WEEK: IN ADDITION TO.

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How to fill out the Montana - WCPolicy.com online

This guide provides a comprehensive overview of how to complete the Montana - WCPolicy.com form online. Following these steps will ensure that you accurately report workplace injuries and facilitate your claim for workers' compensation.

Follow the steps to complete the Montana - WCPolicy.com form online

  1. Press the ‘Get Form’ button to access the form and open it in your editing tool.
  2. Begin by filling out the worker's personal details, including last name, first name, middle initial, and home address. Ensure accuracy to avoid delays.
  3. Provide the education details of the worker, including the level of education completed, with options such as less than high school, GED or high school, and beyond high school.
  4. Specify the employment status and the number of days worked per week. Indicate any additional earnings received, such as board and room, overtime, bonuses, and commissions.
  5. Fill out the marital status, number of dependents, and whether the worker was off work more than six days. This information is important for the insurer.
  6. Document the details of the accident, including the date and cause of injury, location, and nature of injury. Provide a thorough description of the incident.
  7. Complete the medical information section, including the attending physician's name and type of initial medical treatment received.
  8. Have the worker or beneficiary sign the form, confirming that they authorize the release of relevant medical records. This signature is crucial for the claim.
  9. Finally, submit the completed form immediately to the employer's insurer or the Department of Labor and Industry, keeping a copy for your records.

Complete your documents online to ensure a smooth filing process.

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Exempt Employments The most common employments that are exempt are: Sole proprietors, working members of a partnership, working members of a limited liability partnership and working members of a member-managed limited liability.

You may receive weekly compensation of 66 2/3 percent of your wages at the time of injury – up to the maximum rate (see chart below).

In Montana, work comp may be obtained in three ways: self-insurance, private company, or from Montana State Fund. Work comp is solely funded by premiums paid by employers based on the amount of payroll they pay in the various job categories or class codes. Each class code has a work comp rate associated with it.

How does workers' compensation work in Montana? Workers' compensation insurance covers the cost of medical care for work-related injuries and occupational diseases. It also provides wage-loss benefits while the employee recovers, typically equal to two-thirds of their gross wages.

In Montana, work comp may be obtained in three ways: self-insurance, private company, or from Montana State Fund. Work comp is solely funded by premiums paid by employers based on the amount of payroll they pay in the various job categories or class codes. Each class code has a work comp rate associated with it.

You may receive weekly compensation of 66 2/3 percent of your wages at the time of injury – up to the maximum rate (see chart below).

Form ERD-991 First Report of Injury or Occupational Disease (FROI). (click link above) Employees must submit a written and signed First Report of Injury (FROI) within 12 months from the date of their accident or occupational disease. They can submit this form to you, EMPLOYERS or the Department of Labor and Industry.

When applying for workers' compensation in Montana, timing is important. First, an injured employee must report an accident to their employer within 30 days. Then, Montana law requires employers to file a First Report of Injury (FROI) form within 6 days of being notified by the injured worker.

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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