Indiana 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

Section 15(b) provides that any agreement by an employee to waive his right to compensation under the Act is invalid. Section 15(b) is complemented by Section 16, which states that no assignment, release or commutation of compensation shall be valid, except as provided by this Act.

The failure to report an injury could result in fines or even jail time. Once you submit the form, the insurer must submit a copy to the Workers' Compensation Board and accept or deny the claim within 29 days.

You should pay the same health insurance premiums, if any, that you are normally required to. Your employer should continue to pay their portion of your health insurance as they have been doing.

How Long Does Workers' Comp Last in Indiana? In the State of Indiana, how long income benefits last also depends on the severity of your injuries. For workers who cannot perform any work (temporary total disability or permanent total disability), benefits will be paid for up to 500 weeks.

Sole Proprietors, Partners, Corporate Officers and LLC Members who are included for workers' comp coverage must do so at a payroll between $46,800 and $223,600 annually.

A: Worker's compensation is an accident insurance program paid by your employer which may provide you with medical, rehabilitation and income benefits if you are injured on the job. These benefits are provided to help you return to work.

Indiana has kept that cap quite low compared to other states. For injuries that occurred after June 2016 (through at least 2022), the maximum average weekly wage, for purposes of determining benefits, is $1,170. That translates to a maximum TTD benefit of $780 per week.

How much does workers' comp pay in every state? StateTTD amountIllinois66 2/3% of AWWIndiana66 2/3% of AWWIowa70% of "spendable earnings" - the pay remaining after taxesKansas67% of AWW47 more rows ?

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Indiana Workers Compensation Questionnaire