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  • Libc-500 Rev 5-09.indd - Portal.state.pa.us

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REMEMBER: It is Important to Tell Your Employer about Your Injury The name, address and telephone number of your employer s workers compensation insurance company, third-party administrator (TPA),.

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In Pennsylvania, any business that employs one or more people is required by law to provide them with workers' compensation insurance. This provides no-fault coverage for any work-related injuries or illnesses that may occur, including medical treatment and a portion of the injured worker's lost wages.

How to File a Workers' Compensation Claim in PA Inform Your Employer of Your Injury. ... Seek Immediate Medical Attention. ... File Your Claim With the Pennsylvania Department of Labor and Industry. ... Fill Out All the Required Workers' Compensation Claim Forms.

federal workers. longshoremen. railroad workers. casual workers whose employment is casual in character AND not in the regular course of the business of the employer.

Workers' compensation covers the cost of medical care for workplace injuries and occupational diseases. That includes everything from carpal tunnel syndrome to back injuries and black lung disease. It also provides partial wage replacement while the employee is unable to work.

Workers' compensation coverage is mandatory for most employers under Pennsylvania law. Employers who do not have workers' compensation coverage may be subject to lawsuits by employees and to criminal prosecution by the commonwealth.

Criminal Consequences Failing to carry workers' comp insurance is a criminal offense; a non-compliant employer in Pennsylvania can face fines up to $2500 and/or one year in prison for each day that the employer does not have coverage for employees.

Workers' Comp Exemptions in Pennsylvania Sole-Proprietors and Partners who include themselves on workers' compensation coverage must use a minimum payroll amount of $58,760 and a maximum amount of 148,200 for rating their overall workers' compensation cost in 2023.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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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
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