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Application for Temporary Total Disability Benefits-Extraordinary - wyomingworkforce

Application for Temporary Total Disability Benefits-Extraordinary - wyomingworkforce 2025

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The document is an application form for temporary total disability benefits from the Wyoming Workers' Compensation Division. It requires personal information from the employee, questions regarding unemployment compensation and work status, and a certification from a healthcare provider confirming the employee's disability due to a work-related injury. The form emphasizes the importance of accurate information and compliance with legal requirements to avoid penalties.

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How do I file a workers comp claim in Wyoming?

Please submit the report using one of the following methods: By Mail: Workers Compensation Division. P.O. Box 20207. Cheyenne WY 82003. By Email: dws-wcintake@wyo.gov. By Fax: (307) 777-6552. By Mail: Workers Compensation Division. P.O. Box 20207. Cheyenne WY 82003. By Email: dws-wcintake@wyo.gov. By Fax: (307) 777-6552.

What doesnt workers compensation pay for?

If the accident occurs outside of the persons work duties, its not covered by workers compensation. Other kinds of injuries are not covered by workers compensation, including injuries caused during the commute to work and injuries caused by the employees own intoxication while on duty.

Is it worth filing a workers comp claim?

Workers comp is also a vital form of protection for employees who may not be able to shoulder the burden of medical expenses after an on-the-job injury. Given its benefit to both employers and employees, it would seem that claims should be filed as soon as possible after an injury incident.