Get Filing Instructions - Minnesota Department Of Labor And Industry

Completing the Filing Instructions for the Minnesota Department of Labor and Industry is an essential step in the process of authorizing the review or release of your workers' compensation claims file. This guide provides you with clear, step-by-step instructions to assist you in filling out this form accurately and efficiently.

Follow the steps to complete the Filing Instructions online.

1. Press the ‘Get Form’ button to access the filing instructions form and open it for editing.
2. In the specified field, enter the name of the individual or entity you authorize to review or receive copies of your Minnesota workers’ compensation claim file. Ensure accuracy in spelling.
3. Fill in your name as the employee on whose behalf the authorization is granted. If applicable, provide the employer's name.
4. Enter your social security number in the designated area to identify yourself within the system.
5. List the date(s) of injury for which you are authorizing access to the claim file. If you want to include all claims, indicate 'any and all' dates of injury.
6. If known, provide the name of the insurer related to your claims in the appropriate field for further identification.
7. Sign the form to validate your authorization and enter the date of signing. This signature must be in original format and dated within the last six months.
8. If applicable, include the company name in the designated section to provide additional context.
9. Review all entered information for accuracy before finalizing your submission.
10. Upon completion, you may choose to save your changes, download the form, print it, or share it as needed.

Start completing your filing instructions online today for a smooth review process.