Texas 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

This scale shows the percentage of impairment the victim has suffered due to the injury. Therefore, a 5 impairment rating means the victim has suffered injuries affecting at least 5 percent of a particular body part. An impairment rating can also be calculated based on the percentage of the entire body.

When reference is made to being assessed as having a 30% impairment, this relates to being assessed in relation to a WorkCover impairment lump sum claim. A 30% impairment is the minimum threshold impairment level necessary to be entitled to an impairment lump sum claim if you have a psychological injury.

Ing to Texas' workers' comp laws, employees have 30 days to give notice of a work-related injury or illness to their employers. They also have a year to file formal paperwork for the workers' comp claim. After getting a report of injury, employers have eight days to notify their insurer.

A 0% MMI rating means that you have fully recovered, while anything above indicates a reduction in functionality. The reason for an MMI rating is to allow the DWC to assign a value to your claim. The higher your MMI rating, the more compensation you are entitled to receive.

In Texas, it is illegal to fire an employee for filing a legitimate claim for workers' compensation.

The degree of impairment is described as a percentage based on the concept of 'whole person impairment' (WPI). For most compensable injuries, your injury needs to have a level of impairment (WPI) of more than 10 per cent. Exceptions to this include: hearing loss?usually 5 per cent WPI.

The workers' comp disability rating scale is a rating system that ranges from zero to 100. Also known as the impairment ratings percentage chart, the chart's points determine the severity of the injury suffered on the job.

Payout amounts of permanent impairment ratings Permanent Impairment RatingPayout Amount0% ? 10%$011% ? 15%$24,810 ? $37,77016% ? 20%$41,010 ? $53,97021% ? 25%$57,210 ? $70,1708 more rows

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Texas Workers Compensation Questionnaire