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Maine Report of Injury by Employee to Employer to be Filed with Worker's Compensation Agency of State

Category:
Workers Compensation - Injury Reports
State:
Multi-State
Control #:
US-01494BG
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Word; 
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Description

Workers' compensation laws are designed to ensure payment by employers for
some part of the cost of injuries, or in some cases of occupational diseases, received by employees in the course of their work. Worker's compensation legislation requires the employer to furnish a reasonably safe place to work, suitable equipment, rules and instructions. State workers' compensation statutes vary by state. The Federal Employment Compensation Act covers non-military federal employees or those workers employed in some significant aspect of interstate commerce.


The compensation acts require that notice of the fact of injury be given to the employer, or to the compensation board or commission, or to the insurance carrier, or to all of them. This form is a generic example that may be referred to when preparing such a form for your particular state. It is for illustrative purposes only. Local laws should be consulted to determine any specific requirements for such a form in a particular jurisdiction.

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How to fill out Report Of Injury By Employee To Employer To Be Filed With Worker's Compensation Agency Of State?

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FAQ

If you miss more than 7 days of work because of an injury, you are entitled to receive weekly compensation benefits. If you lose between 7 and 13 days, you will be paid for those days. If you miss more than 14 days, you will be paid for all of the days that you have missed.

There is a 7-day "waiting period" before lost wages must be paid by Workers' Compensation.

Job-Related Accidents or Misconduct. Under a legal doctrine sometimes referred to as "respondeat superior" (Latin for "Let the superior answer"), an employer is legally responsible for the actions of its employees.

Workers' comp in Maine helps protect both employers and employees. As an employer, you get protection against lawsuits resulting from workplace injuries or illnesses. And your employees will receive benefits that can help them recover from a work-related injury or illness.

The first report of injury is a document that should be completed by a supervisor or manager whenever an employee is injured at work. The form includes information such as the date and time of the accident, the employee's name, the nature of the injury, and the employee's contact information.

Injured workers are entitled to wage replacement and medical treatment benefits. Wage replacement is equal to two-thirds of your average weekly wages, subject to a maximum equal to 90 percent of the Maine average weekly wage. In most cases, you may receive partial incapacity compensation for a maximum of 520 weeks.

The good news is no, you do not lose your benefits if you are fired. Your workers' compensation benefits do not end whether your employer has fired you or laid you off. The law requires that you continue to receive wage loss payments and medical benefits through your former employers' insurance company.

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