Get List Of All Claim Forms That Can Be Submitted On The Web

Filling out the List Of All Claim Forms That Can Be Submitted On The Web is a crucial step in ensuring your claim is processed efficiently. This guide provides step-by-step instructions to assist users in accurately completing the form online, facilitating a smooth filing experience.

Follow the steps to effectively complete your claim form online.

1. Press the ‘Get Form’ button to acquire the form and open it in your preferred editing tool.
2. Identify the submitter by checking the appropriate box to indicate whether you are the claimant's legal representative or the employer/insurer.
3. Fill in the WCB case number along with the date of injury/illness using the provided format.
4. Enter the carrier case number and carrier code, ensuring accuracy to avoid processing delays.
5. Provide the names of the claimant, employer, carrier, and any other parties involved in the claim.
6. Draft a concise summary of the claim in the section provided. Include the theory of the case and any relevant statutory or case citations.
7. For carriers or self-insured employers, list all defenses and provide proof for each, if applicable.
8. Answer the questions regarding the claimant's work status in the construction industry and the commercial goods transportation industry, and provide details if needed.
9. List and explain any additional parties necessary for the adjudication of the claim.
10. Provide names, addresses, and employers of lay witnesses, along with the nature and estimated time of their testimony.
11. Identify any medical witnesses you intend to cross-examine, specifying how and when you wish to do so.
12. Attach all necessary documents, reports, or forms that are not already included in the electronic case file.
13. Confirm if all discovery related to compensability has been completed, and detail any remaining discovery needs.
14. Indicate if the claimant has undergone an independent medical examination and provide the date.
15. Address whether a broader release for medical records is requested beyond the Limited Release of Health Information.
16. Specify the proposed average weekly wage, including evidence on which this is based.
17. Clarify the claimant's current work status.
18. Confirm whether a good faith effort has been made to resolve the claim for benefits.
19. Sign the form, print your name, and date it in the designated sections.
20. Ensure that all attachments and completed forms are submitted by the deadline, confirming compliance with filing requirements.

Start filling out your claim forms online today to ensure timely processing!