Arkansas Personal Injury Progress Report

State:
Multi-State
Control #:
US-PI-0233
Format:
Word; 
Rich Text
Instant download
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Public form

Description

This form is a case information progress report which details the status of the file.

How to fill out Personal Injury Progress Report?

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FAQ

(List names or person(s) injured or killed in accident. ) Please note that the Verification of Liability Insurance (SR21) is located on the back of this form and must be completed by an authorized insurance agent. NOTICE: This report must be filed within thirty (30) days of accident. ARKANSAS MOTOR VEHICLE ACCIDENT REPORT (SR-1) Arkansas Department of Finance and Administration (.gov) ? images ? uploads Arkansas Department of Finance and Administration (.gov) ? images ? uploads PDF

Workers' compensation coverage is paid by your employer at no cost to you. It is your responsibility to report a work-related accident as soon as it happens. This coverage will pay for reasonably necessary medical care you need if you get hurt or get sick because of an injury on your job.

The law requires that your claim be filed within two (2) years from the date of injury or death, or one year from the date of last payment of compensation.

Make sure your supervisor is notified of your injury as soon as possible. If your injury or illness developed gradually, report it as soon as you learn or believe it was caused by your job. Reporting promptly helps avoid problems and delays in receiving benefits, including medical care. I was injured at work - California Department of Industrial Relations ca.gov ? dwc ? injuredworker ca.gov ? dwc ? injuredworker

Arkansas' Second Injury Fund was established by Act 750 of 1973. Similar to other states, the Arkansas Second Injury Fund was created to encourage employment of disabled workers by limiting, in the event of a subsequent injury, the employer's liability for permanent disability benefits. Second Injury Fund - Arkansas Workers' Compensation Commission awcc.state.ar.us ? specfund21 awcc.state.ar.us ? specfund21

Once you've filled out the appropriate forms, file them with the Arkansas Workers' Compensation Commission. While you do have two years from the date of injury to file a claim with the Arkansas Workers' Compensation Commission, injured employees should not delay.

Percentage of Wages: Weekly wage benefits are tax-free and equate to 66 2/3 of your average weekly wage subject to a maximum rate. Maximum Rate: Weekly wage benefits are subject to a maximum of $835.00 for Total Disability (TD) and $626.00 for Permanent Partial Disability (PPD) as of Jan. 1, 2023.

You will probably be required to complete additional paperwork and see an approved doctor. Under Arkansas law, a workers' compensation claim must be filed within two years of the accident date. What is the Statute of Limitations for a Work-Related Injury in Arkansas? kieklaklawfirm.com ? what-is-the-statute-of-... kieklaklawfirm.com ? what-is-the-statute-of-...

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Arkansas Personal Injury Progress Report