Iowa Notification of Workers' Compensation Injury - Illness

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US-294EM
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Description

This form is used to inform a worker's compensation firm of an injury or illness of sustained by an employee while on duty.

How to fill out Notification Of Workers' Compensation Injury - Illness?

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FAQ

Work Comp InsuranceAddress: 150 Des Moines Street, Des Moines, Iowa 50309-1836.Phone: 800-645-4583 (toll-free) or 515-725-4120 (local)Fax: 515-281-6501.More items...

A Workers' Compensation claim must be made within six months of the date of injury or incident. The sooner you start the claim, the better.

Your employees have 90 days to notify you of an injury or illness. You or your insurance company will then have to electronically file a First Report of Injury or Illness report within four days. Once a claim is filed, your injured or sick employee can receive benefits.

Division of Workers' Compensation (DWC)

In general, the statute of limitations to file your Iowa Workers' Compensation claim is 2 years from the date of your injury. This means you must either have started receiving benefits or have filed an application for arbitration within this time frame.

Under Iowa law if your employment substantially aggravates a preexisting condition you are still entitled to workers' compensation benefits. Iowa law requires that you give your employer notice of any workers' compensation injuries within 90 days of the date of injury.

Compensation is 80 percent of the injured workers spendable (after taxes) wage. Minimum weekly payment is $239 or actual wage if less. Maximum weekly payment is 200% of the state average weekly wage or $1366. Maximum number of payments is no limit.

Iowa's statute of limitations for workers' compensation claims is contained in section 85.26 of the Iowa Code of Law and states that, generally speaking, a proceeding for workers' compensation benefits must be commenced within two years of the date on which the employee was injured.

The injured employee's weekly benefit rate is based on 80% of the employee's weekly spendable earnings but is not to exceed the maximum allowable weekly rate at the time of the injury. Maximum weekly rate for TTD, HP, PTD and death benefits is $2,005.00 .

Step 1: The employee must report the disablement, in writing, to his/her employer as soon as possible or within 12 months from the date the disability occurred. Step 2: The employer must report work-related injury to the Fund within 7 days, or the work-related disease to the fund within 14 days.

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Iowa Notification of Workers' Compensation Injury - Illness