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  • Wica Claim Form - First Capital Insurance Ltd

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Company Reg. No.195000106C GST Reg. No. M200016769 WORK INJURY COMPENSATION CLAIM FORM The issue of this form is not an admission of liability. It should be completed as fully and accurately as possible.

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Here is an overview of your coverage: All employees engaged under a contract of service or apprenticeship is covered under WICA regardless of their salary level. Alternatively, an injured employee can also file a civil suit against the employer under common law for damages.

Key Stages to Making a Compensation Claim Initial Instructions. ... Letter of Claim. ... Collating Evidence. ... If Liability is Admitted. ... Obtaining Medical Evidence. ... Preparing a Schedule of Financial Losses. ... Negotiating Settlement. ... If Liability is Denied.

If you wish to claim for permanent incapacity under WICA, you must complete and submit the form to us within 1 year from the date of the accident. You can do so by: Log in to WicSubmit and upload the scanned copy. Post to MOM Services Centre, 1500 Bendemeer Road, Singapore 339946.

The amount of compensation in a personal injury claim is determined by considering several factors including the severity of the injury, the impact on your life and work, medical expenses incurred, future care needs, and loss of earnings.

The Work Injury Compensation Act (WICA) lets employees make claims for work-related injuries or diseases, without having to take legal action. Use WicSubmit to submit WIC documents online. Find out what is covered and how to file or dispute a claim and check a claim status.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232