Iowa Workers Compensation Questionnaire

State:
Multi-State
Control #:
US-Q1038
Format:
Word; 
Rich Text
Instant download

Description

This form addresses important matters that may effect the legal rights and obligations of the parties in a workers' compensation matter. This questionnaire enables those seeking legal help to effectively identify and prepare their issues and problems. Thorough advance preparation enhances the attorney’s case evaluation and can significantly reduce costs associated with case preparation.



This questionnaire may also be used by an attorney as an important information gathering and issue identification tool when forming an attorney-client relationship with a new client. This form helps ensure thorough case preparation and effective evaluation of a new client’s needs. It may be used by an attorney or new client to save on attorney fees related to initial interviews.


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FAQ

Under certain circumstances, if an employee is required to leave work for care to treat a work injury, the employee may receive payment of lost wages.

If you are off work for more than 14 calendar days, you may be entitled to payment for the three-day waiting period. Temporary Partial Disability (TPD) [85.33(2-5)] If you return to work at a lesser paying job because of the injury, you may be entitled to benefits.

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.

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.

In Iowa, you cannot sue your employer for a work injury in civil court. You can only bring a workers' compensation claim. This is known as ?the exclusive remedy.?

The employer must file with FROI with DWC within four days of notice or knowledge of such alleged injury.

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.

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 workers' compensation benefits.

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Iowa Workers Compensation Questionnaire