Indiana Application for Second Injury Fund Benefits — SF 51247 is a form required by the Indiana Department of Workforce Development that employers must submit when filing a claim for Second Injury Fund benefits for injured workers. This form is used to document the employee's injury and the employer's potential liability for the injury. The form is divided into two parts: Part A is used to describe the injury and its severity, while Part B is used to document the employer's potential liability for the injury. There are two types of Indiana Application for Second Injury Fund Benefits — SF 51247, one for initial claims and one for supplemental claims.
Indiana Application for Second Injury Fund Benefits - SF 51247
State:
Indiana
Control #:
IN-51247-1-WC
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PDF
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Application for Second Injury Fund Benefits - SF 51247
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Filing for workers' compensation in Indiana involves notifying your employer as soon as possible about your injury or illness. You must complete the necessary forms and submit them to the Indiana Workers' Compensation Board in a timely manner. For assistance with the process, consider utilizing the Indiana Application for Second Injury Fund Benefits - SF 51247 feature provided by uslegalforms, which simplifies filing.
How to File a Workers' Compensation Claim in Indiana Step-by-step process for filing a workers' comp claim. Step #1: Seek medical attention. Step #2: Notify your employer. Step #3: Make certain your employer files the necessary form. Step #4: Wait to receive a decision from the insurance company.
The Indiana Workers Compensation Act does not provide compensation for pain and suffering related to workplace injuries or occupational diseases. Non-economic damages for pain and suffering are not part of workers compensation benefits.
For the employee, Second Injury Funds serve as additional anti-discriminatory support for those with disabilities seeking employment. For the employer, Second Injury Funds can serve as a limitation in liability if the employee is subsequently injured.
Benefits. The excess of workers compensation benefits payable due to a second injury resulting in permanent and total disability, over the amounts payable by the employer as defined under IC 22-3-3-13(a).
Under the ?coming and going? rule, generally, if an employee is injured while commuting to and from a fixed site of employment at the beginning or end of his or her shift, this would not be a workers' compensation injury. The ?coming and going? rule ends once the employee reaches the employer's premises.
What Does the Second Injury Fund Do? The workers' comp Second Injury Fund assumes liability for compensation benefits attributable to prior injuries or illnesses. This happens when a worker subsequently becomes totally disabled because of a workplace injury.
Division of Federal Employees', Longshore and Harbor Workers' Compensation (DFELHWC) The Special Fund (also known as the "Second Injury Fund") pays certain types of claims and expenses authorized by the LHWCA.