Idaho 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.


The Idaho Workers Compensation Questionnaire is a vital tool used to gather essential information pertaining to workers' compensation claims filed in the state of Idaho. Designed to ensure accurate and fair assessment of workplace injuries and their subsequent compensation, this questionnaire aids in determining the eligibility of employees and the appropriate benefits they are entitled to receive under Idaho workers' compensation laws. One type of Idaho Workers Compensation Questionnaire is the Initial Injury Questionnaire. This form is to be completed by employees or their representatives when reporting a workplace injury for the first time. It gathers detailed information about the incident, such as the date, time, and location of the accident, the nature and extent of the injury, and any immediate medical attention received. Another type is the Medical Questionnaire, which is filled out by medical professionals to provide a comprehensive assessment of the injured worker's medical condition resulting from the workplace incident. It includes details about diagnoses, treatments, surgeries, prescriptions, and any pertinent medical history that may be relevant to the case. Additionally, there is the Functional Capacity Evaluation (FCE) Questionnaire. This questionnaire is usually completed by a qualified healthcare professional trained in evaluating an individual's physical abilities and limitations. It helps determine the injured employee's functional capacity, such as their ability to perform specific tasks, mobility, endurance, lifting capacity, and any existing restrictions or impairments. The Vocational Questionnaire is another type of questionnaire that focuses on assessing the injured worker's skills, work experience, education, and potential for reemployment. It helps determine the extent to which the injury may impact their ability to return to their previous occupation or find suitable alternative employment. Lastly, the Independent Medical Examination (IME) Questionnaire is administered by an independent medical examiner to evaluate the worker's medical condition impartially. This questionnaire helps in verifying the accuracy of the information provided by the employee and offers an objective opinion regarding the extent of their injuries, their capacity for work, and any potential for rehabilitation. In conclusion, the Idaho Workers Compensation Questionnaire plays a crucial role in the thorough evaluation of workplace injuries and the subsequent determination of workers' compensation benefits. These various types of questionnaires facilitate the gathering of essential information from employees, medical professionals, and vocational experts, ensuring fair and accurate assessment, and providing an equitable framework for injured workers to receive the compensation they deserve.

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FAQ

Mileage Reimbursement: The injured employee is entitled to reimbursement for travel expenses in order to obtain reasonable and necessary medical care if the treatment is not reasonably available within 30 miles of the injured employee's residence.

If you've reported your injury and filed your claim successfully, there is no statute of limitations on Idaho medical benefits. The exception to this rule is when your claim is closed with a lump sum settlement.

The simplest kind of workers' compensation claim may involve only medical expenses and perhaps some lost wages. Injuries that are more debilitating may trigger additional payments over longer periods of time.

If employers delay a claim, they then have a period of 90 days in which they can review and respond to it. If more than 90 days have passed, then the claim is presumed to be accepted so your medical bills, lost wages and other eligible costs related to the work injury should be covered.

Idaho Rates for Select Work Comp Class Codes Class Code & DescriptionLow RateHigh Rate8380 Auto Service & Repair-Mechanic$2.86$4.588393 Auto Body Repair$2.05$3.288742 Sales Professional$0.42$0.678810 Clerical-Office Employees$0.22$0.3565 more rows

Idaho workers' compensation may also help cover costs related to: Accidents or injuries that occur on the job. Repetitive injuries that develop from ongoing strain or stress. Illnesses caused by exposure to harmful substances at work.

The Idaho Workers' Compensation Act and rules adopted thereunder recognize this hardship that is placed on injured Idaho workers. Any miles that you travel over 15 miles to a health care provider are reimbursed by the Idaho Workers' Compensation insurance company at $0.555 per mile.

Will I receive benefits for every day I am injured? You do not receive income benefits for the first 5 days you are off work due to an injury, unless the injury requires overnight hospitalization or the time loss exceeds 14 days. There is no waiting period for eligibility for medical benefits.

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More info

Oct 2, 2023 — This is done with a First Report of Injury or Illness form. Before completing the form, be sure to read the instructions. The form can be filled ... Jan 30, 2023 — Call the Idaho Industrial Commission at 208-334-6000, toll free 1-800-950-2110, and request the name of your employer's insurance company. · Ask ...... compensation activities in Idaho, including companies licensed to issue workers; compensation policies ... Complete This Form” in the Instructions); Application ... STATE OF IDAHO CERTIFICATE OF VERIFICATION OF WORKERS' COMPENSATION INSURANCE. Read thoroughly before completing form. WHAT ARE THE WORKERS' COMPENSATION ... The Workers' Compensation Law lists the few types of ... This brochure is intended to answer the most frequently asked questions regarding Idaho's workers'. Most employers are required to carry workers' compensation for their employees. You can get full information on our Employer FAQ's page, which gives basic ... Sep 16, 2019 — Yes. Idaho law mandates that all injuries must be reported to the Industrial Commission through the filling of a First Report of Injury form. Sep 21, 2023 — ... complete a witness statement form? Witness statements ... For questions regarding an employee's rights under the Idaho Workers' Compensation ... This brochure is intended to answer the most frequently asked questions regarding Idaho's workers' compensation insurance requirements and may not cover your ... If you have questions about the information required on the form or the claim process, call our Claims Team at (208) 332-2100. Preparer Information. Submission ...

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Idaho Workers Compensation Questionnaire