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  • Maine Petition To Determine Extent of Permanent Impairment

Maine Petition To Determine Extent of Permanent Impairment

Category:
Workers Compensation - Official
State:
Maine
Control #:
ME-SKU-0795
Format:
PDF
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Description

Petition To Determine Extent of Permanent Impairment
Maine Petition To Determine Extent of Permanent Impairment is a petition filed with the Maine Workers' Compensation Board to determine the extent of permanent impairment to an injured employee in a workers’ compensation claim. This petition typically includes medical evidence of the extent of the injury and the employee's permanent impairment. It also contains information about the employee's current physical condition, including any restrictions in motion, activities, or work duties. The petition must be signed and dated by the employee and the employer. There are two types of Maine Petition To Determine Extent of Permanent Impairment. The first is a Schedule Award Petition, which is used to calculate the Schedule Award for an employee's permanent impairment. The second is a Non-Schedule Award Petition, which is used to calculate a Non-Schedule Award due to an employee's permanent impairment.

Maine Petition To Determine Extent of Permanent Impairment is a petition filed with the Maine Workers' Compensation Board to determine the extent of permanent impairment to an injured employee in a workers’ compensation claim. This petition typically includes medical evidence of the extent of the injury and the employee's permanent impairment. It also contains information about the employee's current physical condition, including any restrictions in motion, activities, or work duties. The petition must be signed and dated by the employee and the employer. There are two types of Maine Petition To Determine Extent of Permanent Impairment. The first is a Schedule Award Petition, which is used to calculate the Schedule Award for an employee's permanent impairment. The second is a Non-Schedule Award Petition, which is used to calculate a Non-Schedule Award due to an employee's permanent impairment.

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FAQ

The average cost of workers' compensation in Maine is $40 per month. Your workers' comp premium is calculated based on a few factors, including: Payroll. Location.

There is a seven day waiting period after an injury before benefits begin. Compensation is retroactive and the first seven days are paid for if the period of injury is more than 14 days.

Your health insurer must pay the bills if the workers' compensation insurer is denying your claim. Your health insurer can be paid back if your claim is later deemed to be work-related. injury? If you miss more than 7 days of work because of an injury, you are entitled to receive weekly compensation benefits.

A workers' compensation claim must be filed within two years after the date of the injury or six years after the date of the most recent payment of benefits made on account of the injury. Need more information on state laws? Learn more about the laws where you live.

The law requires almost all public and private employers to have workers' compensation coverage. The law defines employers as ?private employers, the State, counties, cities, towns, water districts, other quasi?public corporations, municipal school committees, and design professionals.?

Once you give notice of your injuries, your employer must fill out a form called a "First Report of Injury" within seven days. Your employer must file the report with the Maine Workers' Compensation Board and provide a copy to you and its insurance company.

For further assistance, contact the Maine Workers' Compensation Board, ADA Coordinator, telephone: (888) 801-9087 or TTY (877) 832-5525.

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What you get: Instant access to fillable Microsoft Word or PDF forms. Minimize the risk of using outdated forms and eliminate rejected fillings.Petition To Determine Extent Of Permanent Impairment Form. This is a Maine form and can be use in Workers Compensation. Worthington, justify the WCJ's finding that applicant's industrial injury resulted in permanent and total disability. In all other cases permanent total disability shall be determined in accordance with the facts. The employee=s claim petition for permanent total disability benefits came on for hearing before Compensation Judge John Jansen on June 10, 1999. A physician may determine your level of impairment using the AMA's guides. (2) For the purposes of determining the total number of weeks of partial disability compensation payable under. Impairment ratings - method.

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