The New Hampshire Second Injury Fund Affidavit of Employer Knowledge is a document that is used to verify an employer's knowledge of a workers' compensation claim that an employee has filed for a preexisting injury. It is a legally binding document that provides the Second Injury Fund with evidence that the employer was aware of the employee's preexisting condition prior to the work-related injury. This document is required for any claim to be approved by the Second Injury Fund. There are two types of New Hampshire Second Injury Fund Affidavit of Employer Knowledge: 1) an Employer Affidavit and 2) a Doctor Affidavit. The Employer Affidavit is completed by the employer, attesting to their knowledge of the employee's preexisting condition. The Doctor Affidavit is completed by a doctor, attesting to the employee's preexisting condition and their opinion of how the preexisting condition contributed to the current work-related injury.
New Hampshire Second Injury Fund Affidavit of Employer Knowledge
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How to fill out New Hampshire Second Injury Fund Affidavit Of Employer Knowledge?
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FAQ
The Second Injury Fund was created in 1923 to make benefit payments to to- tally and permanently disabled workers in cases where the cause of disability was subsequent to a prior disability render- ing the worker permanently and partially disabled.
The second-injury fund, also known as the subsequent-injury fund (SIF), was established to meet problems arising when an employee has a preexisting injury or condition and is subsequently injured at work.
Division of Federal Employees', Longshore and Harbor Workers' Compensation (DFELHWC) The Special Fund (also known as the "Second Injury Fund") pays certain types of claims and expenses authorized by the LHWCA.
The injured worker has two (2) years from the date of injury to notify the employer of his injury in order to make a claim for benefits.
Workers' Compensation for New Hampshire Workers. If you are hurt at work, workers' compensation (or "workers' comp") pays your medical bills. It also pays 60% of your lost wages after you miss more than three days of work. Workers' compensation is a type of insurance that all employers MUST provide.
What Does the Second Injury Fund Do? The workers' comp Second Injury Fund assumes liability for compensation benefits attributable to prior injuries or illnesses. This happens when a worker subsequently becomes totally disabled because of a workplace injury.
Alaska, Arizona, Georgia, Louisiana, Massachusetts, New Hampshire, and Nevada are examples of states with active second injury fund statutes with a strong employer knowledge element.
For the employee, Second Injury Funds serve as additional anti-discriminatory support for those with disabilities seeking employment. For the employer, Second Injury Funds can serve as a limitation in liability if the employee is subsequently injured.