West Virginia Application for PTD Benefits

State:
West Virginia
Control #:
WV-SKU-0494
Format:
PDF
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Description

Application for PTD Benefits

West Virginia Application for LTD Benefits is a form used to apply for Permanent Total Disability (LTD) benefits from the West Virginia Workers’ Compensation Commission. This form is used by individuals who are unable to return to their usual job due to an injury or illness. There are two types of West Virginia Application for LTD Benefits: the Initial Application for LTD Benefits and the Review Application for LTD Benefits. The Initial Application is used by individuals who have not previously applied for LTD benefits and will provide details about their injury or illness, their job duties, medical records, and other relevant information. The Review Application is for applicants who have previously applied for LTD benefits and are seeking a review of their current status. Both applications require the applicant's signature and that of a doctor, as well as the signature of the employer.

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FAQ

The maximum benefit amount an SSI recipient of West Virginia could receive is $733 per month (the federal benefit amount).

The current maximum amount for SSDI payments is $3,345 per month. For SSI payments, by contrast, the maximum monthly amount a disabled individual can receive in 2023 is $914 for an eligible individual, and $1371 for an eligible individual with an eligible spouse.

If you have a permanent partial disability, you are eligible to receive the total amount of your PD benefits spread over a fixed number of weeks. If you have a permanent total disability, you are eligible to receive PD payments for the rest of your life.

Pursuant to W. Va. Code § 23-4-6(e)(1), permanent partial disability (PPD) rates are paid at 66 and 2/3% of the average weekly wage earnings, wherever earned, of the injured employee at the date of injury, not to exceed 70% of the average weekly wage in West Virginia.

Permanent Partial Disability (PPD) Benefits: An injured worker's wage paid is 66 2/3%. The weekly payment minimum is $175.33, 33 1/3% of the West Virginia state average weekly wage and may not exceed the Federal minimum hourly wage. The weekly maximum is $350.67, 70% of the West Virginia state average weekly wage.

To obtain benefits under either program, the applicant must be found unable to perform any type of work for at least 12 months due to physical, mental, or combined physical and mental impairment. For more information on qualifying for disability benefits, the Social Security Administration provides excellent resources.

Permanent disability (PD) is any lasting disability from your work injury or illness that affects your ability to earn a living. If your injury or illness results in PD you are entitled to PD benefits, even if you are able to go back to work.

More info

You have a right to receive a copy of it. To apply for PTD benefits, your treating physician must complete the Doctor's Certificate specifically for Permanent Total Disability (4 pages).All of the information contained in this application for benefits is necessary to properly adjudicate the request. Requesting PTD benefits. To request PTD, complete the Application for Compensation for Permanent Total Disability form. How do I apply for permanent total disability (PTD) benefits? 1. How do I contact the Department of Labor about my Special Fund benefits? Permanent total disability (PTD) is payable to employees who are never able to return to gainful employment. This video explains one of the four main types of wage replacement insurance benefits under workers' compensation in Tennessee. To apply for PTD benefits, your treating physician must complete the Doctor's Certificate specifically for Permanent Total Disability (4 pages).

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West Virginia Application for PTD Benefits