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Pennsylvania Agreement to Stop Weekly Workers Compensation Payments (Final Receipt)

State:
Pennsylvania
Control #:
PA-SKU-4588
Format:
PDF
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Description

Agreement to Stop Weekly Workers Compensation Payments (Final Receipt) The Pennsylvania Agreement to Stop Weekly Workers Compensation Payments (Final Receipt) is a document used by employers and employees in the state of Pennsylvania to terminate weekly workers' compensation payments. This document is used to acknowledge the end of the employee’s right to receive weekly workers’ compensation payments and outlines the terms of the agreement between the employee and the employer. The types of Pennsylvania Agreement to Stop Weekly Workers Compensation Payments (Final Receipt) include: Final Receipt of Lump Sum Settlement, Final Receipt of Permanent Partial Disability Award, and Final Receipt of Permanent Total Disability Award. The Final Receipt of Lump Sum Settlement is used when the employee and employer agree to settle the claim in one lump sum payment. The Final Receipt of Permanent Partial Disability Award is used when the employee is determined by the workers’ compensation insurer to be partially disabled and is awarded a weekly income. The Final Receipt of Permanent Total Disability Award is used when the employee is determined by the workers’ compensation insurer to be totally and permanently disabled and is awarded a weekly income. Each type of Agreement outlines the terms of the agreement, including the date of the settlement, the amount of the settlement, the date the payments will stop, and the employee’s signature to acknowledge the terms.

The Pennsylvania Agreement to Stop Weekly Workers Compensation Payments (Final Receipt) is a document used by employers and employees in the state of Pennsylvania to terminate weekly workers' compensation payments. This document is used to acknowledge the end of the employee’s right to receive weekly workers’ compensation payments and outlines the terms of the agreement between the employee and the employer. The types of Pennsylvania Agreement to Stop Weekly Workers Compensation Payments (Final Receipt) include: Final Receipt of Lump Sum Settlement, Final Receipt of Permanent Partial Disability Award, and Final Receipt of Permanent Total Disability Award. The Final Receipt of Lump Sum Settlement is used when the employee and employer agree to settle the claim in one lump sum payment. The Final Receipt of Permanent Partial Disability Award is used when the employee is determined by the workers’ compensation insurer to be partially disabled and is awarded a weekly income. The Final Receipt of Permanent Total Disability Award is used when the employee is determined by the workers’ compensation insurer to be totally and permanently disabled and is awarded a weekly income. Each type of Agreement outlines the terms of the agreement, including the date of the settlement, the amount of the settlement, the date the payments will stop, and the employee’s signature to acknowledge the terms.

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Pennsylvania Agreement to Stop Weekly Workers Compensation Payments (Final Receipt)