Mississippi Report of Occupational Injury or Illness

State:
Multi-State
Control #:
US-427EM
Format:
Word; 
Rich Text
Instant download
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Description

This form is used to document information concerning an injury or illness suffered by an employee on company property.

How to fill out Report Of Occupational Injury Or Illness?

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FAQ

To receive workers' comp benefits, you must report your injury to your employer. You should do so as soon as possible, but no later than 30 days after your injury.

2021 Maximum Weekly Compensation Rate The state-wide average weekly wage figure for the applicable period is $784.74, causing the maximum weekly benefit under the Act to be $523.16 for all claims arising on or after January 1, 2021.

These benefits are payable at least every 14 days, and may continue for up to 450 weeks after the decedent's death. These benefits equal a certain percentage of the deceased worker's average weekly wage, and are subject to a weekly maximum amount set by statute.

How does workers' comp work in Mississippi? When an employee is injured on the job or develops an occupational disease, workers' compensation insurance pays for their medical treatment. It also provides disability benefits of up to two-thirds of the employee's average weekly wage while they cannot work.

This range can be three to seven years. That said, there is not usually a limit on permanent disability benefits. However, some states do stop weekly benefits when employees reach the age of 65.

Minimum weekly payment is $25. Maximum weekly payment is 66 2/3 percent of the Mississippi state average weekly wage, $398.93. Maximum number of payments is limited to 450 weeks. Total payable amount for disability is $179,518.50.

You should give notice of your injury to your employer within 30 days to receive maximum benefits, and all claims must be filed within two years.

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Mississippi Report of Occupational Injury or Illness