West Virginia Notification of Workers' Compensation Injury - Illness

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This form is used to inform a worker's compensation firm of an injury or illness of sustained by an employee while on duty.

How to fill out Notification Of Workers' Compensation Injury - Illness?

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FAQ

Workers' compensation insurance in WV helps pay medical costs for employees that become hurt or sick as a result of their job. It can also help replace some of your employee's missed wages or provide disability payments if they're unable to return to work.

Workers' compensation insurance in WV helps pay medical costs for employees that become hurt or sick as a result of their job. It can also help replace some of your employee's missed wages or provide disability payments if they're unable to return to work.

Claims Must Be Filed Within Six Months. West Virginia requires injured workers to file an application for benefits within six months of the date of injury.

The State of West Virginia requires workers' compensation claims to be filed within six months from the date of the injury. It can be within three years from the date of diagnosis of an occupational disease or illness, or three years from the employee's last exposure to the hazardous condition that caused the illness.

The 5 Most Common Workers' Compensation InjuriesStrains (30.06% of workers' compensation claims)Contusions (20.83% of claims)Lacerations (11.79% of claims)Sprains (8.85% of claims)Punctures (5.50% of claims)

Accident at work claim time limit: For accidents at work, you will have three years from the date of your workplace accident to claim. Slip, trip or fall accident: Injuries that occur from a slip, trip or fall have a three-year time limit from the date of accident.

You cannot take sick leave while in receipt of weekly compensation payments. Do I accrue leave while on workers' compensation? WorkCover WA is unable to provide advice regarding accrual of annual leave, long service leave or sick leave while in receipt of workers' compensation payments.

The weekly maximum is $526, 100% of the West Virginia state average weekly wage. Maximum period of payments is 104 weeks.

How do I file a workers compensation claim in my state? If you are injured while on the job, you should 1) seek the appropriate medical care necessary; 2) provide written notice to your employer as soon as possible, if not immediately; and 3) file a workers' compensation claim.

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West Virginia Notification of Workers' Compensation Injury - Illness