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Washington Application to Reopen Claim due to Worsening Condition

State:
Washington
Control #:
WA-SKU-3071
Format:
PDF
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Description

Application to Reopen Claim due to Worsening Condition

The Washington Application to Reopen Claim due to Worsening Condition is a form that is used by Washington residents who are already receiving benefits from the Department of Social and Health Services (DSS) and who have experienced a worsening of their disability. This form is used to reopen an existing claim for disability benefits or to request an increase in benefits due to a change in condition. This form can also be used to request a medical review of a claim that has been denied or closed. There are two types of Washington Application to Reopen Claim due to Worsening Condition forms: the Request to Reopen a Claim form and the Request for Medical Review form. The Request to Reopen a Claim form is used for applicants who are already receiving benefits and who are seeking an increase in benefits due to a worsening of their condition. The Request for Medical Review form is used for applicants whose claim has been denied or closed and who are seeking a medical review of the claim.

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FAQ

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.

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.

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.

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.

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.

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.

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.

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