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Form DWC 1 is the official form that California businesses and employees use to file a workers compensation claim. The employee fills out a portion of the form, and the employer fills out the remainder. The employer then sends the completed form to their workers comp insurance company in order to file a claim.
Injuries by Body Part When it comes to workers comp costs by body part, head and central nervous system injuries are the priciest, averaging around $93,000 per claim. Injuries that affect multiple body parts come next at $62,000, followed by pelvis, leg, and neck injuries, all averaging about $60,000.
The Division of Workers Compensation (DWC) monitors the administration of workers compensation claims, and provides administrative and judicial services to assist in resolving disputes that arise in connection with claims for workers compensation benefits.
These benefits are calculated based on a percentage of the workers average weekly wage, typically equaling 66 2/3%, of their regular wages at the time they were hurt, subject to Floridas maximum reimbursement amount, and are paid for the duration of the workers disability, up to a maximum of 104 weeks.
Several factors play a role, and many types of injuries and illnesses can support these claims. Most workers get between $2,000 and $40,000 dollars for their claim. The average amount for a workers compensation settlement is about $20,000.
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In Florida, the workers compensation insurer must issue your payment within 14 days after the judge of compensation claims mails the order approving the attorneys fee. In Georgia, the insurer must send your payment within 20 days after your settlement is approved.
The provider must complete form DFS-F5-DWC-25 to request authorization for a medical treatment plan, to communicate to the carrier an injured employees medical status, to document the injured employees date of Maximum Medical Improvement (MMI date), and to document a Permanent Impairment Rating (PI Rating).
Maximum Compensation Limits Body PartMaximum Compensation Arm $186,293 Leg $110,513 Hand $163,559 Thumb $42,3117 more rows

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