Las Vegas Nevada Lump Sum Rehabilitation Agreement

State:
Nevada
City:
Las Vegas
Control #:
NV-D-29-WC
Format:
PDF
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Description

Lump Sum Rehabilitation Agreement

How to fill out Nevada Lump Sum Rehabilitation Agreement?

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FAQ

Workers' compensation is a no-fault insurance program in the State of Nevada, which provides benefits to employees who are injured on the job and protection to employers who have provided coverage at the time of injury.

How do you claim? Inform your supervisor or employer as soon as possible (verbally or in writing). Make note of anyone who witnessed the accident. The form that needs to be completed is WCL 2: Notice of Accident and Claim for Compensation.

Nevada Revised Statutes (NRS) 616A. 065 requires the average monthly wage to be capped at 150 percent of the state Average Weekly Wage, multiplied by 4.33. Maximum disability compensation in Nevada is 66-2/3 percent of the Average Monthly Wage (NRS 616A.

In Nevada, a workers' compensation claim begins when a C-4 form is sent to the insurance company that your employer uses for workers' compensation coverage. You will need to fill out your part of the C-4 form the first time you visit a medical provider for treatment of your work injury.

Complete the Notice of Injury or Occupational Disease, Form C-1. You must fill out this form and turn it in to your employer within one week of your injury. If your work-related injury requires medical treatment, you will need to fill out Form C-4, Employee's Compensation Report of Initial Treatment.

Waiting period: 4 day waiting period, benefits begin on the 5th consecutive day off or due if off for 5 or more days in a 20 day period.

Workers' compensation is a no-fault insurance program in the State of Nevada, which provides benefits to employees who are injured on the job and protection to employers who have provided coverage at the time of injury.

For each percent of impairment, you will receive 0.6% of your average monthly wage at the time of your injury.

The Insurer has 30 Days to Either Accept or Deny Your Workers' Compensation Claim: Within 30 days after the insurer gets your C-4 form they must send you a letter which states whether they accept or deny your claim.

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Las Vegas Nevada Lump Sum Rehabilitation Agreement