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West Virginia Employers Report of Occupational Hearing Loss

State:
West Virginia
Control #:
WV-SKU-0515
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Description

Employers Report of Occupational Hearing Loss

West Virginia Employers Report of Occupational Hearing Loss is a form required by West Virginia employers to report any cases of workers suffering hearing loss due to their work environment. This document must be completed and submitted to the state's Division of Labor whenever a worker has been diagnosed with a hearing impairment or has experienced a change in their hearing due to their job. The report must include detailed information about the employee's occupation, the type of noise they were exposed to, the duration of exposure, and the results of any hearing tests taken. There are two different types of West Virginia Employers Report of Occupational Hearing Loss: one for when an employee is diagnosed with a hearing impairment and another for when an employee has experienced a change in their hearing due to their job. The form must be completed and submitted to the Division of Labor within 30 days of the diagnosis or change in hearing.

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FAQ

In these states, employers must buy workers comp insurance from an insurance fund operated by the state. Nevada and West Virginia were monopolistic states in the past but now have a competitive market system.

To make up for missed wages, an employee with a work-related injury or illness is eligible to receive up to two-thirds of their pre-injury average weekly earnings. Temporary total disability benefits begin after they can't work for more than three consecutive calendar days.

You should report the work-related injury or illness to your employer as soon as possible but no later than thirty (30) days from the date the accident occurs, or within thirty (30) days of the date the doctor says you are suffering from a work-related injury.

Occupational hearing loss is a common work injury in almost every industry. However, it is even more common in industries where people work with heavy equipment and machinery.

Report the injury or illness to your employer Reporting promptly helps avoid problems and delays in receiving benefits, including medical care. If you don't report your injury within 30 days, you could lose your right to receive workers' compensation benefits.

Claims Must Be Filed Within Six Months West Virginia requires injured workers to file an application for benefits within six months of the date of injury.

More info

Employer Report of Occupational Hearing Loss. Instruction. Complete this form if an employee experiences occupational noise-induced hearing loss.There were 14500 workrelated hearing loss illness cases in 2019. They occurred at a rate of 1. 4 Hearing impairment is hearing loss that impacts day-to-day activities. Section 1904. This completed form within 30 days. "The first step is always using stateissued paperwork to file a formal claim with the employer where the injury occurred," Frantz says. Give date you first related hearing loss to employment, and reason why. Please complete in triplicate (type if possible) Mail two copies to: OSHA CASE NO. FATALITY.

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West Virginia Employers Report of Occupational Hearing Loss