The New Jersey Second Injury Fund Information Review Sheet is a document that provides information about the Second Injury Fund program in the state of New Jersey. This program provides financial assistance to employers and employees who have suffered a work-related injury or disability, which is compounded by a pre-existing condition. The review sheet outlines the eligibility requirements, benefits, and application process for the program. It also provides information on how to submit claims, as well as contact information for the Second Injury Fund program office. There are two types of review sheets: one for employers and one for employees.
New Jersey Second Injury Fund Information Review Sheet
State:
New Jersey
Control #:
NJ-SKU-1700
Format:
Word
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Description
Second Injury Fund Information Review Sheet
How to fill out New Jersey Second Injury Fund Information Review Sheet?
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FAQ
"Individuals who suffer a disability which is total in character and permanent in quality are entitled to receive 70% of the weekly wages that they earned at the time of their injury subject to a maximum of 75% of the Statewide Average Weekly Wages (SAWW) and a minimum of 20% of the SAWW." Gelman, Jon L, Workers'
Generally, the value of your workers' compensation claim will increase if you require surgery, as it indicates a more serious injury. Because some workers' comp settlements may be considered final, it may be better to settle your claim after you have surgery and have reached maximum medical improvement (MMI).
Determining Your Wage Loss Payment The simple formula for calculating a weekly workers' compensation temporary disability payment is to take your average weekly wage and multiply it by 70 percent (AWW x 70% = weekly wage replacement amount).
If you live in New Jersey, you will also be notified of a location near you where you may receive assistance in completing the form. Fund benefits will be withheld until the com- pleted form is received. The Second Injury Fund makes no pay- ment for medical expenses.
Many factors affect the time between your work injury and getting a workers' compensation settlement. Some cases can take several weeks; others may take a couple of years.
The rationale behind the SIF was to persuade employers to hire disabled workers by reducing, in the event of additional injury, their liability for compensation payments to amounts that only apply to the most recent injury.
Yes, your settlement calculation should include the value of additional surgical costs, post-surgical rehabilitation, and costs from prospective complications.
More info
Instant access to fillable Microsoft Word or PDF forms. Minimize the risk of using outdated forms and eliminate rejected fillings.Sheet which lists relevant information for the review of Second Injury Fund cases. Notice of Claim with Second Injury Fund, This document is a PDF. This report provides the results of our performance audit of the Louisiana Workforce. Commission's (LWC's) Second Injury Fund (SIF). Remaining values are from Exhibit V, Sheet 1. The South Carolina Workers' Compensation Commission offers all of its forms in PDF fillable format, or that they can be printed out and completed manually. If you are injured at work we will use your answers in this questionnaire to establish our prior knowledge when we make a Second Injury Fund claim. Please complete this form for injuries occurring after July 1, 2007.