Washington Application for Loss of Earning Power Compensation Medical (WALLOP) is a form used to apply for medical compensation if an individual has a disability that has resulted in a loss of earning capacity. The form is used by individuals in Washington State who are seeking medical compensation for their disability. WALLOP includes two types of applications: 1) the Initial Application and 2) the Reconsideration Application. The Initial Application is used to apply for medical compensation and includes information about the individual's disability, income, and medical expenses. The Reconsideration Application is used if the initial application is denied and includes additional information about the individual's disability and work history. The applications must be completed and submitted to the Washington State Department of Labor and Industries.
Washington Application for Loss of Earning Power Compensation Medical
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How to fill out Washington Application For Loss Of Earning Power Compensation Medical?
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In order for a worker to be eligible for loss of earning power benefits: The worker's loss of earnings must be greater than 5 percent of wages at the time of injury. Medical certification must indicate that the worker's loss of earning capacity is due to the industrial injury or occupational disease.
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Initial payment: At least 25% of the state's average monthly wage, but no more than 6 times the state's average monthly wage. Subsequent payments: At least 25% of the state's average monthly wage, but no more than 150% the state's average monthly wage.
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If your worker misses time from work and their doctor certifies they are unable to work, L&I may pay for a portion of their lost wages, which is called "time?loss compensation." However, the first 3 days immediately following the worker's injury are considered a waiting period.
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Checks are mailed (or sent electronically) twice a month, as long as: Your doctor certifies that you cannot work (supported by objective medical findings). Your claim manager receives your signed Worker Verification Form.
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