Get Form 33 - Workers Compensation Lawyersworkers Comp ...

Filling out FORM 33 is an essential step for those seeking a hearing regarding workers' compensation claims. This guide will walk you through each section of the form, ensuring that you complete it accurately and efficiently online.

Follow the steps to complete the FORM 33 accurately and confidently.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin filling out the employee's information, starting with the last name, first name, and telephone number. Ensure all details are accurate and up-to-date.
3. Enter the employer's name and address, including city, state, and zip code. Provide the carrier's address and telephone number, if applicable.
4. Fill in the date of birth and date of injury, as well as the part of the body affected by the injury and the city and county where the injury occurred.
5. Estimate the length of the hearing. If the hearing should not be held in the county where the injury occurred, specify the preferred county and provide a reason.
6. State the reason for the request for a hearing. Describe why an agreement regarding compensation has not been reached, including relevant details regarding administrative orders if applicable.
7. Indicate the specific workers' compensation benefits the employee believes they are entitled to by checking the relevant boxes and providing dates where necessary.
8. Indicate whether mediation has been participated in by checking yes or no.
9. List the names and addresses of all witnesses, including doctors, whose testimony will be taken. Certification that the case is ready for hearing must also be included.
10. Complete the signature section by indicating whether you are the employee, employer, or attorney, and provide your printed name, mailing address, telephone number, email address, and date of notice.
11. Certify the service of the form by indicating how a copy was provided to each relevant party, including their names and addresses.
12. Once all sections are completed, ensure you save your changes, download, print, or share the form as necessary.

Start filling out your FORM 33 online today to advance your workers' compensation claim.