Wyoming Workers Compensation Questionnaire

State:
Multi-State
Control #:
US-Q1038
Format:
Word; 
Rich Text
Instant download

Description

This form addresses important matters that may effect the legal rights and obligations of the parties in a workers' compensation matter. This questionnaire enables those seeking legal help to effectively identify and prepare their issues and problems. Thorough advance preparation enhances the attorney’s case evaluation and can significantly reduce costs associated with case preparation.



This questionnaire may also be used by an attorney as an important information gathering and issue identification tool when forming an attorney-client relationship with a new client. This form helps ensure thorough case preparation and effective evaluation of a new client’s needs. It may be used by an attorney or new client to save on attorney fees related to initial interviews.


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FAQ

Wyoming Workers' Compensation Coverage It can help cover the medical bills for an employee's work-related injury or illness. On top of this, it can help cover: Ongoing treatment like physical therapy for injured employees. Funeral expenses.

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.

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.

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.

Temporary total disability (TTD) payments are usually two-thirds of the wages you were earning before you were injured. Example: If the gross wages that you would be earning if you were not injured are $300 per week, your TTD payments are $200 per week.

Workers Compensation insurance provides benefits to employees injured during the course of their employment. In most circumstances, employers that are required to obtain this coverage must do so from the State of Wyoming Workers Compensation Program pursuant to the Workers Compensation Act WS. §§ 27-14-101, et seq.

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.

Wyoming Workers' Compensation Requirements Employers with any employees are typically required to have coverage. Sole-proprietors and Partners are excluded from coverage in Wyoming. They may elect coverage in writing using an Affidavit of Coverage provided by the Division of Employer Services.

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Wyoming Workers Compensation Questionnaire