Pennsylvania Workers Compensation Questionnaire

State:
Multi-State
Control #:
US-Q1038
Format:
Word; 
Rich Text
Instant download

Description

This form addresses important matters that may effect the legal rights and obligations of the parties in a workers' compensation matter. This questionnaire enables those seeking legal help to effectively identify and prepare their issues and problems. Thorough advance preparation enhances the attorney’s case evaluation and can significantly reduce costs associated with case preparation.



This questionnaire may also be used by an attorney as an important information gathering and issue identification tool when forming an attorney-client relationship with a new client. This form helps ensure thorough case preparation and effective evaluation of a new client’s needs. It may be used by an attorney or new client to save on attorney fees related to initial interviews.


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FAQ

Under the Pennsylvania Workers' Compensation Act, injured workers are entitled to wage loss (?indemnity benefits?) based on the earnings at the time of injury. Generally speaking, indemnity benefits are calculated based on two-thirds (2/3) of your average weekly wage (?AWW?).

Yes, multiple surgeries may increase the value of your workers' compensation settlement. As explained by the Pennsylvania Supreme Court, injured workers cannot claim a specific permanent loss from an injury if surgery restores some or all the lost function.

Workers' comp cases with head injuries settle for the most money compared to settlements for all other body parts.

Once the WCJ issues the written decision, then the Pennsylvania Workers' Compensation Act requires payment within 20 days of the decision. Typically, if you sign and agree to the waiver of appeal, the settlement funds will be distributed within two weeks. However, that is not a guarantee.

Sole proprietors. Employees not working within the regular course of the employer's business. Agricultural workers hired to do less than 30 days of work and who earn less than $1,200/year from one employer. Employees who request an exemption based on religious beliefs or executive status in certain corporations.

But if your injury means that your conditions are not going to get better and you won't be able to work again, you can negotiate a comp settlement based on two-thirds of your average weekly wage and the 500-week period (about nine and a half years) for which you are eligible to receive benefits in Pennsylvania.

Is there a waiting period in Pennsylvania? In the State of Pennsylvania there is a 7 day waiting period. An employee must be off work a total of 14 days to be paid for the first 7 days of disability.

There is no official Pennsylvania workers' compensation settlement chart. However, you can consider a number of factors to estimate your settlement value. For example, factors may include the severity of your injury, any pre-existing conditions, and whether you suffer from permanent disability.

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Pennsylvania Workers Compensation Questionnaire