West Virginia Workers' Compensation Docketing Statement is a document used by West Virginia employers and insurance carriers to track and document claims related to workplace injuries and illnesses. The Docketing Statement is the first step in the process of filing a claim for workers' compensation benefits and is used to record important information, such as the injured worker's name, date of injury, and the type of injury or illness suffered. There are two types of West Virginia Workers' Compensation Docketing Statement: the Basic Docketing Statement, which is used to document claims for medical treatment, lost wages, and other benefits; and the Supplemental Docketing Statement, which is used to document claims for more complex issues, such as vocational rehabilitation and death benefits. Both forms must be completed and filed with the West Virginia Workers' Compensation Board in order for the claim to be processed.
West Virginia Workers' Compensation Docketing Statement
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How to fill out West Virginia Workers' Compensation Docketing Statement?
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Each page of an appendix must be clearly numbered in a sequential fashion so as to permit each page to be located by reference to a single page number. Page numbers must be legible and distinct from any other numbers that appear on the documents.
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