North Dakota Injured Worker Status Report

State:
North Dakota
Control #:
ND-SKU-0354
Format:
PDF
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Description

Injured Worker Status Report

The North Dakota Injured Worker Status Report is a document that is used by employers to track the status of an injured worker in the state of North Dakota. It includes information such as the worker's injury diagnosis, the date of injury, the treatment plan, and the current status of the injury. This document is used by employers to ensure that their injured workers are being treated properly and that they are following the established treatment plan. There are two types of North Dakota Injured Worker Status Report; the initial report and the follow-up report. The initial report is completed when the worker is first injured and includes detailed information about the injury, the treatment plan, and the worker's current status. The follow-up report is completed after a certain amount of time has passed since the initial report and includes information such as any changes to the injury or the treatment plan. Both reports are important for ensuring that injured workers in North Dakota are receiving the proper care and treatment.

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FAQ

North Dakota, Ohio, Wyoming, and Washington are the four states with this specific requirement and are referred to as monopolistic states. Below is what you need to know about each state and their government-operated fund.

How do I apply for workers' compensation benefits? Applying for workers' compensation benefits can be completed in a few different ways. You can complete a First Report of Injury (FROI) online. You can also fax a completed FROI to WSI at 701-328-3820 or 888-786-8695 or mail it to PO Box 5585, Bismarck, ND 58506-5585.

A workers' compensation claim must be filed within two years from the date the employer/insurer notifies the employee and the South Dakota Department of Labor, in writing, of the denial of a claim, in whole or in part.

Important information about benefits Wage-loss benefits are paid at a rate of 2/3s of the pre-injury gross weekly wage. The weekly benefit may not exceed the maximum benefit at the time of disability. The weekly benefit also cannot exceed the net wages after taxes.

All claims must be filed within one year after an injury or within two years after a death. The date of injury is the first date that a reasonable person knew or should have known that a work-related injury occurred.

North Dakota's Workers' Compensation law, with limited exceptions, requires all employers to insure all employees including full-time, part-time, seasonal, and occasional workers before employees begin working. It is unlawful to deduct any portion of the premium from wages or salary of any employee.

More info

The WSR contains a lot of important information that dictates the aspects of an injured worker's claim. The WSR includes the following basic information: patient's name, date of service, reason for visit, diagnoses, disposition, work restrictions, date of next follow-up appointment, and the doctor's signature.Your employer should report the injury as soon as possible, but no later than seven (7) days after their knowledge. Notify your supervisor immediately and report the work-related injury or illness to AmeriSys, then complete. The following forms need to be completed and submitted to EMPLOYERS when a work-related injury occurs: DWC1 First Report of Injury (FROI). WORKERS' COMPENSATION - WORK STATUS REPORT. Press firmly or type. Workers' Compensation Forms and Worksheets. Report all injuries immediately to your supervisor or Human Resource Department. Complete the Employee Injury Report Form.

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North Dakota Injured Worker Status Report