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Virginia Workers' Compensation Commission Coal Workers Pneumoconiosis Claim Form. Virginia Workers' Compensation Commission Coal Workers Pneumoconiosis Claim Form

Virginia Workers' Compensation Commission Coal Workers Pneumoconiosis Claim Form. Virginia Workers' Compensation Commission Coal Workers Pneumoconiosis Claim Form 2025

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The document is a Pneumoconiosis Claim Form from the Virginia Workers’ Compensation Commission, designed for workers suffering from Coal Workers’ Pneumoconiosis or Black Lung Disease. It outlines the necessary information required for filing a claim, including details about the injured worker and employer, as well as instructions for requesting benefits. The form emphasizes the importance of timely communication regarding occupational disease diagnoses and provides guidance on alternative dispute resolution and hearing processes. Additionally, it lists the types of benefits covered under the Virginia Workers’ Compensation Act.

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What are the workers compensation laws in Virginia?

Virginia law requires that most employers carry workers compensation insurance in order to cover their workers in the event of a work injury. Workers compensation provides a tradeoff for both employers and employees. For the employer, it provides an exclusive remedy, shielding the employer from civil suit.

How do I contact the Virginia Workers Compensation Commission?

Contact Us by Phone For general questions, please contact the Customer Contact Center toll free at 1-877-664-2566 from 8:30 a.m. - 4:45 p.m., Monday - Friday. Language translation available, TTY users dial 7-1-1.

How do you win black lung benefits?

To win benefits, a miner must prove that he has Black Lung and that he is totally disabled due to a breathing impairment caused at least in part by Black Lung. A widow of a miner whose death was due to Black Lung is entitled to benefits.

What is included in pneumoconiosis?

The pneumoconioses are a group of lung diseases caused by the lungs reaction inhaling certain dusts. The main cause of the pneumoconioses is work-place exposure. Environmental exposures have rarely been related to these diseases.

What is the most common pneumoconiosis?

Types of pneumoconiosis One of the most common forms is black lung disease, also known as miners lung. Its caused by breathing in coal dust. Another is brown lung, which comes from working around dust from cotton or other fibers. Other types of dusts that can cause pneumoconiosis include silica and asbestos.

What are claims for pneumoconiosis?

Pneumoconiosis claims are made under the Workers Compensation Act of 1979 for dust-related diseases. The person making a claim must be able to prove inability to take civil action against employees due to ceased business.

What is a black lung claim?

The Black Lung Benefits Act provides monthly payments and medical benefits to coal miners totally disabled from pneumoconiosis (black lung disease) arising from their employment in or around the nations coal mines. The Act also provides monthly benefits to a miners dependent survivors.

How long can you receive workers compensation benefits in Virginia?

Generally, the maximum time that you can receive workers compensation benefits in Virginia is 500 weeks. There are exceptions to this limit, such as if you suffered a severe injury such as a spinal cord injury, brain injury, or amputation of multiple limbs.

Virginia Workers' Compensation Commission Coal Workers Pneumoconiosis Claim Form. Virginia Workers' Compensation Commission Coal Workers Pneumoconiosis Claim Form 2025

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