Mississippi Notification of Workers' Compensation Injury - Illness

State:
Multi-State
Control #:
US-294EM
Format:
Word; 
Rich Text
Instant download
This website is not affiliated with any governmental entity
Public form

Description

This form is used to inform a worker's compensation firm of an injury or illness of sustained by an employee while on duty.

How to fill out Notification Of Workers' Compensation Injury - Illness?

If you need to complete, down load, or print out lawful record themes, use US Legal Forms, the largest selection of lawful kinds, that can be found on the web. Take advantage of the site`s simple and convenient search to obtain the paperwork you need. Numerous themes for business and personal uses are categorized by categories and claims, or key phrases. Use US Legal Forms to obtain the Mississippi Notification of Workers' Compensation Injury - Illness in a handful of mouse clicks.

In case you are already a US Legal Forms client, log in in your account and click the Download switch to get the Mississippi Notification of Workers' Compensation Injury - Illness. You may also access kinds you earlier saved from the My Forms tab of your account.

If you are using US Legal Forms the very first time, refer to the instructions listed below:

  • Step 1. Be sure you have selected the form for your proper city/country.
  • Step 2. Make use of the Preview method to look through the form`s information. Never forget to see the information.
  • Step 3. In case you are not satisfied using the form, use the Search area near the top of the screen to find other models in the lawful form web template.
  • Step 4. After you have identified the form you need, go through the Buy now switch. Opt for the prices prepare you like and add your accreditations to register for an account.
  • Step 5. Process the transaction. You should use your charge card or PayPal account to perform the transaction.
  • Step 6. Choose the format in the lawful form and down load it on your own gadget.
  • Step 7. Comprehensive, modify and print out or sign the Mississippi Notification of Workers' Compensation Injury - Illness.

Every lawful record web template you buy is your own eternally. You may have acces to each form you saved inside your acccount. Click the My Forms area and decide on a form to print out or down load again.

Be competitive and down load, and print out the Mississippi Notification of Workers' Compensation Injury - Illness with US Legal Forms. There are millions of skilled and state-specific kinds you can utilize for your business or personal demands.

Form popularity

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.

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.

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.

The 5 Most Common Workers' Compensation InjuriesStrains (30.06% of workers' compensation claims)Contusions (20.83% of claims)Lacerations (11.79% of claims)Sprains (8.85% of claims)Punctures (5.50% of claims)

What Are the 4 Most Common Causes of Workplace Injuries?Complacency. In an era of federal safety regulations and modern technology, no one goes to work expecting to get hurt.Frustration.Fatigue.Laziness.

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.

Yes. In the state of Mississippi, your employer can fire you while you are being treated for your workers' compensation case. Mississippi is an at-will employment state, which means that you can be fired for any reason.

The most common work injuries are slips, trips, and falls, overexertion, and contact with equipment. All of these injuries are mostly preventable by taking the proper precautions and adhering to OSHA's guidelines.

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.

Trusted and secure by over 3 million people of the world’s leading companies

Mississippi Notification of Workers' Compensation Injury - Illness