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Washington Application to Reopen Claim Due to Worsening Condition

State:
Washington
Control #:
WA-SKU-3370
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 a form used in the state of Washington to allow an individual to reopen an existing worker's compensation claim due to a worsening condition. The application must be submitted to the Washington Department of Labor & Industries within sixty days of the date the condition began to worsen. The application must include supporting medical documentation from a licensed healthcare provider which verifies the worker's condition has worsened. There are two types of Washington Application to Reopen Claims Due to Worsening Condition: 1) Reopen Claim for Worsening Condition and 2) Reopen Claim for Worsening Condition with Possible Increase in Benefits. The first form is used when an individual is seeking reopening of an existing claim based on a worsening of their condition. The second form is used when an individual is seeking to reopen an existing claim based on a worsening of their condition, and is also seeking an increase in benefits.

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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.

Fares are separate, but a Link-Up Pass is available to Metra monthly ticket holders for use on CTA and you can buy Metra tickets (via credit, debit or transit value in your registered Ventra transit account) in the Ventra app.

Chicago Transit Authority A CTA Red Line train exiting the State Street subwayRoutesBus: 140, Rail: 8FleetBus: 1,879, Rail: 1,190Daily ridership800,600 (total, 2022) 466,400 (bus, 2022) 334,200 (rail, 2022)Annual ridership243,538,700 (total, 2022) 140,013,800 (bus, 2022) 103,524,900 (rail, 2022)8 more rows

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.

Ventra is the name of our fare system. You can buy Ventra Cards to store passes and fare value or disposable Ventra Tickets to ride CTA and Pace buses.

Rides from O'Hare International Airport cost $5. Transfers (covered more below) to other L lines, CTA buses, or Pace buses, cost 25 cents for two rides in two hours. Chicago uses a single turnstile system with a fixed fare. You tap your card once to enter the station, are deducted the fare ($2.50) and that's it.

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.

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.

More info

Application to Reopen Claim. Due to Worsening of Condition.Complete the form, following the attached sample. Be sure to sign and date the form. Only use this form if your medical condition has worsened, and your claim has been closed for more than 60 days. If you need to reopen a workers' compensation case in Maryland for worsening conditions, you need trusted legal counsel. Speak to us at (410) 234-0100. If you and a doctor agree that your condition has worsened, you must demonstrate that the condition is related to your on-the-job illness or injury. Do you need to reopen a workers' comp claim? A petition to reopen the claim must be filed within five years of the injury date.

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Washington Application to Reopen Claim Due to Worsening Condition