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Pennsylvania Claim Petition For Additional Compensation From Subsecquent Injury Fund

State:
Pennsylvania
Control #:
PA-SKU-4600
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PDF
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Claim Petition For Additional Compensation From Subsecquent Injury Fund
Pennsylvania Claim Petition For Additional Compensation From Subsequent Injury Fund (IF) is a claim petition available to Pennsylvania workers who have been injured or disabled due to a work-related injury or illness. This petition is used to request additional compensation from the IF for the cost of medical treatment, lost wages, and other related expenses. The IF is a fund created to provide compensation to workers who have suffered a work-related injury or illness due to the negligence of another party. There are two types of Pennsylvania Claim Petition For Additional Compensation From Subsequent Injury Fund: Claim Petition for State Fund and Claim Petition for Self-Insured Employers. The Claim Petition for State Fund is used to apply for additional compensation from the IF when the employer is insured through the state worker’s compensation system. The Claim Petition for Self-Insured Employers is used to apply for additional compensation from the IF when the employer is self-insured. The Claim Petition for Additional Compensation from Subsequent Injury Fund must be filed within 1 year of the date of the injury. The petition must include information about the employee’s injury, medical treatment received, wages lost, and other related expenses. It must also include the employer’s name, address, and insurance information. The petitioner must also submit supporting documentation such as medical records, proof of lost wages, and other related expenses. The Pennsylvania Department of Labor and Industry will review the petition and make a determination whether the petitioner is eligible for additional compensation from the IF.

Pennsylvania Claim Petition For Additional Compensation From Subsequent Injury Fund (IF) is a claim petition available to Pennsylvania workers who have been injured or disabled due to a work-related injury or illness. This petition is used to request additional compensation from the IF for the cost of medical treatment, lost wages, and other related expenses. The IF is a fund created to provide compensation to workers who have suffered a work-related injury or illness due to the negligence of another party. There are two types of Pennsylvania Claim Petition For Additional Compensation From Subsequent Injury Fund: Claim Petition for State Fund and Claim Petition for Self-Insured Employers. The Claim Petition for State Fund is used to apply for additional compensation from the IF when the employer is insured through the state worker’s compensation system. The Claim Petition for Self-Insured Employers is used to apply for additional compensation from the IF when the employer is self-insured. The Claim Petition for Additional Compensation from Subsequent Injury Fund must be filed within 1 year of the date of the injury. The petition must include information about the employee’s injury, medical treatment received, wages lost, and other related expenses. It must also include the employer’s name, address, and insurance information. The petitioner must also submit supporting documentation such as medical records, proof of lost wages, and other related expenses. The Pennsylvania Department of Labor and Industry will review the petition and make a determination whether the petitioner is eligible for additional compensation from the IF.

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FAQ

Section 311 of the Pennsylvania Workers' Compensation Act provides that notice of a work injury must be given to an employer within 120 days or it is barred.

The Supreme Court also granted immunity from subrogation to government entities and other public employers in Pennsylvania. In other words, if you prevail in your third-party injury case against a government entity, you can keep the full amount of your personal injury settlement without any subrogation.

The Claim Petition commences proceedings seeking a determination as to whether the claimant has a compensable injury and entitlement to benefits. Form LIBC-378 is a Section 413 Petition and the document utilized when an action implicating the workers' compensation award is initiated, in check-the-box format.

(a) Compensation for a subsequent injury, as defined in section 306.1 of the act (77 P. S. § 516) shall be paid as follows: (1) The employer is responsible for payments due for specific loss under section 306(c) of the act (77 P. S. § 513).

More info

Formal litigation forms ; Second Injury Fund Verified Petition (fillable). scf-161_i. PDF. An employee seeking additional compensation from the Subsequent Injury Fund should file this petition if the employee has previously.However, in order for a Second Injury Fund relief to be available, a Verified Petition must be filed on behalf of the claimant. 2023 Second Injury Fund Assessment and Report are available here. The custodian of the Injured Workers' Benefit Fund shall be joined with the employer as a party respondent in the application for adjustment of claim. Erickson or Tonita Erickson. Paul Tochtrop, for Respondents Climax Uranium and Colorado Compensation Insurance Authority. Workers' Compensation Second Injury Fund. Or court hearings will be included in subsequent printings. Reporting Requirements Table of Contents Reports of Injuries 86.

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Pennsylvania Claim Petition For Additional Compensation From Subsecquent Injury Fund