North Dakota Compensation Committee Information Form

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Multi-State
Control #:
US-L05041B
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Description

This form assures that the compensation committee considers all relevant information when deciding the allocation of compensation. It provides an opportunity for each lawyer to list unique accomplishements, involvement with associates and management committees, national practice groups participation, recruiting, and an area for comments.

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FAQ

Applying for workers' compensation benefits can be completed in a few different ways. You can complete a First Report of Injury (FROI) online. You can also fax a completed FROI to WSI at 701-328-3820 or 888-786-8695 or mail it to PO Box 5585, Bismarck, ND 58506-5585. Call us at 800-777-5033 with questions.

North Dakota's Workers' Compensation law, with limited exceptions, requires all employers to insure all employees including full-time, part-time, seasonal, and occasional workers before employees begin working. It is unlawful to deduct any portion of the premium from wages or salary of any employee.

How much does workers' compensation insurance cost in North Dakota? Estimated employer rates for workers' compensation in North Dakota are $1.14 per $100 in covered payroll.

Nearly every employee in North Dakota must be covered by workers' compensation insurance, with some exceptions. Individuals who are exempt from mandatory coverage include: Sole proprietors. Partners in LLCs.

All original claims for benefits must be filed by the injured employee, or someone on the injured employee's behalf, within one year after the injury or within two years after the death.

Temporary Total Disability (TTD) Benefits: An Injured worker's wage paid is 66 2/3%. The weekly payment minimum is 60% of the North Dakota state average weekly wage, $376, or the employees actual wage if it is less. The weekly maximum is $689, 110% of the injured workers actual average weekly wage.

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North Dakota Compensation Committee Information Form