Maryland Request For Employer Designee To Receive Notice of Employee Claims

• Category: Maryland Workers Compensation - Official - Adjudication Claims
• State: Maryland
• Control #: MD-SKU-1515
• Format: PDF

Description

Request For Employer Designee To Receive Notice of Employee Claims The Maryland Request For Employer Designee To Receive Notice of Employee Claims is a form used by employers in the state of Maryland to designate a representative to receive notice of any employee claims made against the employer. This form must be completed and filed with the Maryland Department of Labor, Licensing, and Regulation (DLR). The form allows employers to designate any individual or entity, such as an attorney or a third-party administrator, to receive notice of any claims made against the employer. The designated representative will be notified of any claims made by an employee, allowing the employer to respond to the claims in a timely manner. The form is divided into two parts: 1) Request for Designee to Receive Notice of Employee Claims: This section of the form requires employers to provide the name and contact information of the designated representative. 2) Return of Service: This section requires the designated representative to sign and date the form, indicating their acceptance of the employer’s request. Once the form is filled out and signed, employers must file the form with the DLR. The form can be filed online or mailed to the department. After the form is filed, employers must keep a copy in their records for future reference.

The Maryland Request For Employer Designee To Receive Notice of Employee Claims is a form used by employers in the state of Maryland to designate a representative to receive notice of any employee claims made against the employer. This form must be completed and filed with the Maryland Department of Labor, Licensing, and Regulation (DLR). The form allows employers to designate any individual or entity, such as an attorney or a third-party administrator, to receive notice of any claims made against the employer. The designated representative will be notified of any claims made by an employee, allowing the employer to respond to the claims in a timely manner. The form is divided into two parts: 1) Request for Designee to Receive Notice of Employee Claims: This section of the form requires employers to provide the name and contact information of the designated representative. 2) Return of Service: This section requires the designated representative to sign and date the form, indicating their acceptance of the employer’s request. Once the form is filled out and signed, employers must file the form with the DLR. The form can be filed online or mailed to the department. After the form is filed, employers must keep a copy in their records for future reference.