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Oklahoma Employees Claim for Benefits form the Multiple Injury Trust Fund

State:
Oklahoma
Control #:
OK-3F-WC
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PDF
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Employee's Claim for Benefits from the Multiple Injury Trust Fund - This is an official form from the Oklahoma Workers Compensation Court, which complies with all applicable laws and statutes. USLF amends and updates the forms as is required by Oklahoma statutes and law.


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FAQ

The benefit amount is 60 to 75% of the wage you were earning, depending on how many dependents you have. The minimum and maximum L&I can pay is set by the state legislature. You may have better options available - ask your employer if there are other jobs you can do to earn your wage or salary while you recover.

The Second Injury Fund pays the disabled employee the difference between the employer's liability and the balance of his or her disability or impairment. This way, the employee is fully covered.

Settlements are calculated based on a combination of lost wages, medical expenses, future medical expenses, specific loss, scarring, and more. Because factors vary so widely from case to case, it's nearly impossible to provide an average workers' comp settlement amount.

Workers' Compensation Part 3Part 3 of the policy identifies the state(s) that the workers compensation benefits apply to. This section of the policy has 2 subsections: A & C. 3A This subsection names the states in which workers compensation coverage is required by eligibility tests.

If your workers' compensation claim is approved, L&I or your self-insured employer will cover medical bills directly related to your injury until your doctor certifies your injury has stabilized and reached a point where further recovery isn't expected.

The short answer is, no, your employer cannot fire you merely because of your workers' compensation claim. However, your employer can fire you while you have an open workers' compensation claim.

An individual with an injury covered under workers' compensation may be protected by the ADA, but is not automatically protected.The ADA does not require an employer to provide a reasonable accommodation for an employee with an occupational injury who does not have a disability as defined by the ADA (EEOC, 1996).

Here's how L&I calculates the premium rate for each of the business's risk classifications: Multiplying the business's experience factor by the sum of the Accident Fund, Medical Aid Fund, and Stay at Work base rates, and then. Adding the base rate for the Supplemental Pension Fund.

You must be an employee. Your employer must carry workers' comp insurance. You must have a work-related injury or illness. You must meet your state's deadlines for reporting the injury and filing a workers' comp claim.

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Oklahoma Employees Claim for Benefits form the Multiple Injury Trust Fund