This is one of the official Workers' Compensation forms for the state of Minnesota.
Minneapolis Minnesota Notice of Liability Determination for Workers' Compensation
Category:
State:
Minnesota
City:
Minneapolis
Control #:
MN-NL01-WC
Format:
PDF
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Description
How to fill out Minnesota Notice Of Liability Determination For Workers' Compensation?
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FAQ
After suffering a serious workplace injury, you may not be able to return to work. Fortunately, under Minnesota's workers' compensation law, you can receive wage loss benefits.
There is a law in Minnesota that prevents employers from firing employees for seeking workers compensation benefits. The law also states that an employer cannot intentionally obstruct an employee from seeking workers compensation benefits.
176.151 TIME LIMITATIONS. (a) Actions or proceedings by an injured employee to determine or recover compensation, three years after the employer has made written report of the injury to the commissioner of the Department of Labor and Industry, but not to exceed six years from the date of the accident.
If notice of a work injury is not provided within 180 days, a claim may be denied unless the employee was unable to give notice due to mental or physical incapacity or where the employer has engaged in fraud or misrepresentation.
You have 15 days to file an appeal. The start date for the 15-day period is: five days after the date the administrative law judge's decision was mailed by United States Postal Service regular mail; the date the decision was faxed or electronically sent; or.
In Minnesota, the workers' compensation waiting period starts on the first day of any lost time and is three calendar-days long. Wage-loss benefits for an injured worker are not paid for the waiting period unless the disability continues for 10 calendar-days or longer.
Claim process -- Claim denied If you need help returning to work but your claim has been denied, call the department's Vocational Rehabilitation unit at 651-284-5038 or 800-657-3749 and ask how you might obtain a rehabilitation consultation.
The first day of disability is the first day of the waiting period. Any disability (claimed lost time or wages), including a fraction of a day of disability, is considered the first day of disability regardless of whether the employee is paid in full by the employer for that day.
