This form is a case information progress report which details the status of the file.
Iowa Personal Injury Progress Report
State:
Multi-State
Control #:
US-PI-0233
Format:
Word;
Rich Text
Instant download
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Public form
Description
How to fill out Personal Injury Progress Report?
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FAQ
Your AWW determines how much your income benefit will be. To calculate your AWW, add up all your earnings for the 13 weeks before you were hurt (including overtime or other special pay) and divide that by 13.
Circumstances Under Which Workers' Comp Benefits Could Stop Iowa law requires employees receive a 30-day written notice with an explanation for stopping benefits under other circumstances. For instance, if the medical provider has indicated that significant improvement from the injury isn't anticipated.
Temporary total disability (TTD), healing period (HP), permanent partial disability (PPD) or permanent total disability (PTD) benefits are paid at a weekly workers' compensation rate considering your marital status and number of exemptions. Generally, the rate is 80% of your spendable earnings before any deductions.
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.
CALCULATION OF AVERAGE WEEKLY WAGE* Hourly employees: Computed by dividing by 13 the wages, including overtime hours at the straight time rate, earned from employer for the 13 consecutive calendar weeks immediately preceding the injury.
The doctor will determine how the impairment will limit your job functions. For example, an impairment rating of 30% might be a big deal if your job is physically demanding, like carpentry. However, if your job is primarily sedentary in nature, the impairment won't affect your job duties to a high degree.
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 $2,081.00 . Maximum weekly rate for PPD benefits is $1,915.00.
An injured employee's average weekly wage on the date of injury will control the amount of benefits he or she is entitled to receive. To calculate an employee's weekly wage, you multiply the worker's daily wage by the number of days and partial days worked for the employer in a week.