Florida Workers Compensation Witness Report

State:
Multi-State
Control #:
US-351EM
Format:
Word; 
Rich Text
Instant download

Description

This form is used to record eye witness testimony of a work related injury.

How to fill out Workers Compensation Witness Report?

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FAQ

In Florida, you must report most injuries within 30 days. If a condition or illness develops over time, you must notify your employer within 30 days of discovering its relationship to your work. You may lose some or all of your benefits if you do not notify your employer within these deadlines.

Exemption of workers' compensation from chapter 120. Investigatory records relating to workers' compensation employer compliance; confidentiality. Investigatory records relating to workers' compensation managed care arrangements; confidentiality.

Within Palm County, the average settlement for all cases is $15,396 in Palm County. However, if there is an amputation involved, the average settlement jumps to $24,999. When there is a lesser injury, such as a burn, there may be no settlement at all.

Under Florida law, your employer's insurance company will require you to see a doctor it has chosen. Although there are some exceptions when you may be able to choose your own doctor, such as: You need emergency medical treatment for your work injury.

Florida's workers' compensation law does provide you the opportunity to get a second opinion if you are not satisfied with the treatment your authorized treating physician is giving you. However, we don't call it a second opinion. It is called your one-time change in treating physicians.

Your employer should report the injury as soon as possible, but no later than seven (7) days after their knowledge. The insurance company must send you an informational brochure within three (3) days after receiving notice from your employer.

DFS Fraud Hotline. 1-800-378-0445.Online. Report Insurance Fraud.Local Field Offices. Contact Us.

The fine for not having the necessary policy by Florida law is double what the employer would have paid in workers compensation premiums for the duration of time they went without compliance in the last two years, or a minimum fee of $1,000, whichever is greater.

Workers' comp pays for all medical care that's necessary to treat a work-related injury or illness, as long as your treatment is prescribed by the treating doctor and authorized by the insurance company. You're also entitled to the cost of traveling to and from doctor's appointments and to get prescribed medicine.

What is the statute of limitations for bodily injury in Florida? In Florida, you have generally have four (4) years to sue for compensation for negligence. However, there are exceptions. The 4 year time limit is found in Florida Statute 95.11(3)(a).

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Florida Workers Compensation Witness Report