Washington Affidavit for Time Loss Compensation Benefits is an affidavit used to report time lost from work due to an industrial injury or illness. It is an important document required to obtain compensation benefits under the Washington Industrial Insurance Act. The Washington Affidavit for Time Loss Compensation Benefits is a sworn statement of an injured worker, in which the worker must provide a detailed description of the injury or illness, the amount of time lost from work, and any wages lost due to the injury or illness. The affidavit is then submitted to the Department of Labor and Industries, who will review it and determine whether the worker is eligible for compensation benefits. There are two types of Washington Affidavit for Time Loss Compensation Benefits: the Standard Time Loss Affidavit, and the Modified Time Loss Affidavit. The Standard Time Loss Affidavit is used by workers seeking compensation benefits for a single industrial injury or illness. The Modified Time Loss Affidavit is used by workers seeking compensation benefits for multiple industrial injuries or illnesses.
Washington Affidavit for Time Loss Compensation Benefits
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FAQ
Wage replacement 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.
Loss of time benefits help you meet your financial obligations when you are unable to work because of a non-occupational accident or illness. To receive this benefit, you must be eligible under the Plan, totally disabled, unable to perform your job, and under the care of a medical doctor.
Lost Time Injury rate follows a simple formula to indicate your performance. Divide the total number of lost time injuries in a certain time period by the total number of hours worked in that period, then multiply by 200,000 to get the LTIR.
Time-loss compensation payments will not be as much as your regular paycheck. The benefit amount is 60 to 75% of the wage you were earning, depending on how many dependents you have. The minimum and maximum L&I can pay is set by the state legislature.
Whether an injured worker is covered by L&I's Washington State Fund, or a self- insured employer, he or she is entitled to no-fault accident and disability coverage. This ?workers' compensation insurance? covers medical expenses and pays a portion of wages lost while a worker recovers from a workplace injury.
Maximum Time-Loss Rate In Washington, the maximum L&I time-loss rate for 2023 is $8,250 per month, equivalent to 120% of the state's average 2020 monthly wage.
Maximum Time-Loss Rate In Washington, the maximum L&I time-loss rate for 2023 is $8,250 per month, equivalent to 120% of the state's average 2020 monthly wage.
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.