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Washington Application to Reopen Claim due to Worsening Condition

State:
Washington
Control #:
WA-SKU-3069
Format:
PDF
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Description

Application to Reopen Claim due to Worsening Condition

Washington Application to Reopen Claim due to Worsening Condition is an application that workers in Washington State can file if their medical condition has worsened since an initial claim or denial of benefits. This application allows workers to request an increase in benefits or a reopening of the denied claim. There are two types of Washington Application to Reopen Claim due to Worsening Condition: Form F245-101-000 and Form F245-121-000. Form F245-101-000 is for workers who have been injured in a work-related accident and are requesting a reopening of their claim based on a worsening of their condition. Form F245-121-000 is for workers who have been denied benefits and are now requesting an increase in benefits due to a worsening of their condition. Both forms require a detailed description of the worsening condition, the medical evidence provided, and the specific benefits requested.

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FAQ

Initial payment: At least 25% of the state's average monthly wage, but no more than 6 times the state's average monthly wage. Subsequent payments: At least 25% of the state's average monthly wage, but no more than 150% the state's average monthly wage.

Time limits You should get legal advice urgently if you want to claim compensation. The most common claim in a personal injury case is negligence and the time limit for this is 3 years. This means that court proceedings must be issued within 3 years of you first being aware that you have suffered an injury.

Right to get medical care needed for treatment at no cost. Right to get time loss benefit payment if unable to work for more than 3 days. Right to turn down (decline) ?light duty? work offer unless approved by your doctor. Right to get a permanent partial disability payment if your injury is permanent.

The workers' compensation scheme operates on mutual obligations. The employer and insurer have obligations to pay you a salary and cover the cost of your treatment. In return for accepting that salary, you must attend work and undertake duties that are medically appropriate, as indicated on your certificates.

You can apply to reopen a claim at any time, but after seven years, it is at L&I's Director's discretion whether or not benefits other than medical will be paid.

Wage Replacement. If you miss work because of your injury and your doctor certifies you are unable to work, L&I or your self-insured employer may pay for a portion of your lost wages, called "time?loss compensation." However, the first 3 days immediately following your injury are considered a waiting period.

A waiver of subrogation means that a business and their insurance company is foregoing all rights to file suit, or seek damages, from another business.

What is the L&I INJURY Statute of Limitations (SOL) in Washington State? If you have an injury on the job, you must file a Report of Industrial Injury within one year of the incident, or else you lose your right to do so. RCW 51.28.

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Washington Application to Reopen Claim due to Worsening Condition