Nevada Work Request Cover Sheet
Description
How to fill out Work Request Cover Sheet?
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FAQ
How can I verify WC coverage? Use the Coverage Verification tool on the Division of Industrial Relations website to look up employers who have purchased coverage from a carrier. You may look up employers using their names or FEINs.
Unless excluded by statute, it is mandatory for an employer who has one or more employees to provide workers' compensation insurance coverage. Some employees are excluded by NRS 616A.
Complete the Notice of Injury or Occupational Disease, Form C-1. You must fill out this form and turn it in to your employer within one week of your injury. If your work-related injury requires medical treatment, you will need to fill out Form C-4, Employee's Compensation Report of Initial Treatment.
Workers' comp waiting periods by state StateWaiting period to receive workers' compNevada5 consecutive days or 5 cumulative days within a 20-day periodNew Hampshire3 daysNew Jersey7 daysNew Mexico5 days48 more rows ?
Nevada is unique in that it caps payroll at $36,000 regardless of job classification or position. Sometimes out-of-state brokers and agents are unaware of this fact and end up over-charging insureds.
Insurance company response to claim filing The employer must submit the Employer's Report and Wage Verification to the insurance company within six (6) working days of receiving the Employee's Claim for Compensation (C-4 form).
6 Injured Employee's Request for Compensation (7/99) 7 Explanation of Wage Calculation (7/99)
The C-4 form is titled ?Employee's Claim for Compensation/Report of Initial Treatment?. The physician fills out their part of the form and sends a copy to your employer and the insurer. Be sure to get a copy for your records.
