This form is a sample complaint for use in a personal injury case in which the plaintiff tripped and fell due to a crack in the steps leading from the defendant's building.
Wyoming Complaint regarding Fall from Steps
State:
Multi-State
Control #:
US-PI-0287
Format:
Word;
Rich Text
Instant download
Description
Free preview
How to fill out Complaint Regarding Fall From Steps?
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FAQ
Temporary total disability (TTD) benefits are paid during the period an employee is totally unable to work due to the effects of the work-related injury.
You must Report your Injury to your employer within 72 hours of the accident causing your injury and within 10 days to the Workers' Compensation Division. Injury reports must be signed by the injured worker.
Work comp rates for all job classification codes are always expressed as a percentage of $100 in wages. An annual policy is always subject to an audit because it was based on estimated wages and not actual wages. In order to calculate the cost of the policy you only need to multiply each rate with its divided payroll.
Permanent partial disability means that the worker is still able to function in his or her chosen work, but not at full capacity. Common examples of permanent partial disability include back injuries, carpal tunnel syndrome, amputation, hearing loss, and vision damage.
We will provide quality service to help you achieve the best medical recovery possible from your work injury and help you return to work. Workers' Compensation is funded by premiums paid by employers to provide coverage for lost wages and medical bills when an on the job injury occurs.
Temporary Total Disability benefits are the equivalent of 2/3 of your gross monthly wage at the time of injury, but cannot exceed the Statewide Average Wage for the quarter you were injured. Temporary Total Disability benefits are not taxable.
At any time more than 60 days after service of the complaint and at least 28 days before the date set for trial, any party may serve on an opposing party an offer to allow settlement or judgment on specified terms, with the costs then accrued.
Rule 4. ? On or after filing the complaint, the plaintiff may present a summons to the clerk for signature and seal. If the summons is properly completed, the clerk must sign, seal, and issue it to the plaintiff for service on the defendant.