The Louisiana P and I Form (or "Proof of Injury" form) is a document submitted with each request for reimbursement from the Louisiana Second Injury Board. This form serves to provide evidence that an employee has suffered a job-related injury or illness, and is completed by the injured worker and their doctor. The form includes sections for the injured worker to provide information regarding their medical history, the nature of the injury or illness, the date of the injury or illness, and the expected length of recovery. It also includes sections for the doctor to certify that the injury or illness is related to the worker's job, and to provide any additional comments or information regarding the injury or illness. The Louisiana P and I Form is an important document for all workers in Louisiana, as it is required for any reimbursement requests from the Second Injury Board. There are two types of Louisiana P and I Form: the original form which is submitted with the initial request for reimbursement, and the supplemental form which is submitted with any additional requests for reimbursement.
Louisiana P And I Form (Submitted With Each Request For Reimbursement From Second Injury Board)
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FAQ
The Second Injury Fund (SIF) is a state-administered program that may reimburse part of a claim when an employee with a permanent pre-existing condition is subsequently injured on the job.
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.
Under Louisiana law, the employer and the workers compensation insurance company have the right to have the injured employee examined by a doctor whom they choose. This examination by the insurance company's doctor is called a Second Medical Opinion (SMO).
The maximum weekly benefit for workers injured on or after September 1, 2021, is $743. For those hurt in the previous year, the maximum is $705. In many cases, asking ?what is the highest workers' compensation in Louisiana?? does not matter because your average wages determine your benefit amount.
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.
Under Louisiana law, the employer and the workers compensation insurance company have the right to have the injured employee examined by a doctor whom they choose. This examination by the insurance company's doctor is called a Second Medical Opinion (SMO).