Montana workers compensation 2025

See details

4.9 out of 5

58 votes

The document is a petition for settlement regarding a claim of permanent total disability due to a work-related injury or occupational disease. It outlines the agreement between the claimant and insurer to settle all compensation payments, specifying a lump sum payment and the conditions under which medical benefits are reserved or terminated. The petition seeks approval from the Department of Labor & Industry to fully close the claim, with an understanding that approval will release the insurer from further compensation obligations.

Here's how it works

01. Edit your workers comp montana online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out Montana Workers Compensation with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the Montana Workers Compensation form in the editor.
Begin by entering the claimant's name and address in the designated fields. Ensure accuracy as this information is crucial for processing.
Fill in the employer's details and the insurer’s claim number. This helps link your petition to the correct case.
Specify the date of injury or occupational disease occurrence. This is essential for determining eligibility and benefits.
Indicate the agreed settlement amount in the provided field, ensuring it reflects any prior payments made by the insurer.
Complete any special provisions or vocational rehabilitation provisions if applicable, providing additional context for your claim.
Sign and date the petition at the bottom, ensuring that all required signatures are included before submission.

Start using our platform today to streamline your Montana Workers Compensation form completion for free!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What are the three main requirements to obtain workers compensation?

You must be an employee. Your employer must carry workers comp insurance. You must have a work-related injury or illness.

How does Workmans Comp work in Montana?

Montana workers compensation benefits generally equal 2/3 of the employees gross wages up to the maximum rate allowed by the state. The benefits continue until the employee returns to work or docHubes the maximum medical improvement (MMI).

What not to say to Workmans Comp?

What Not to Say to a Workers Comp Doctor Avoid Downplaying Your Injury: Dont minimize your pain or discomfort. Dont Speculate on Recovery Time: Do not make guesses about how quickly you will recover. Stay Away from Absolute Statements: Do not use words like always or never when describing your symptoms.

How much does workers comp cost in Montana?

Average Cost of Workers Comp Insurance in Montana Workers compensation insurance in Montana costs businesses an average of $73 per month or $878 annually.

Try more PDF tools