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CLAIMANT'S AUTHORIZATION TO DISCLOSE WORKERS' COMPENSATION RECORDS. (Pursuant to Workers' Compensation Law Section 110-a)
Under Nevada law, you must report your injury within seven days. To make a claim, you will need to have a doctor sign off on your initial treatment. This will require a specific form. You must complete this form and have it signed and turned in within 90 days of your injury to make a workers' comp claim.
Form OC 110a is an authorization by the injured worker that allows access to his or her file. Some examples of people who might need this form are an attorney who is looking into your case, a healthcare provider who wants to review medical records or an insurance company looking into prior claims.
EMPLOYEE'S CLAIM FOR COMPENSATION/REPORT OF INITIAL TREATMENT. FORM C-4.
Form C-3 Employer's Report Of Industrial Injury or Occupational Disease. As soon as you have been notified of a work-related injury, please fill out this form and submit it to EMPLOYERS. This form must be completed within 10 days from notice of an accident. Fatalities must be reported within 24 hours.
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Form C-3 Employer's Report Of Industrial Injury or Occupational Disease. As soon as you have been notified of a work-related injury, please fill out this form and submit it to EMPLOYERS. This form must be completed within 10 days from notice of an accident. Fatalities must be reported within 24 hours.
Depending on your specific situation, having surgery may increase the total value of your workers' compensation case \u2013 particularly if you still have some level of disability after the surgery. Importantly, New York workers' compensation settlements are often final, particularly when they involve a lump sum payment.
You must gather your evidence, such as new medical documentation or proof of a legal or factual mistake, and prove to the court that your case should be reopened. Hiring a New York workers' comp lawyer with Finkelstein, Meirowitz & Eidlisz, LLP is a solid way to get your workers' comp case reopened.
The formula used by the New York State Workers' Compensation Board to calculate weekly settlement payments is as follows: Weekly Rate: 2/3 x average weekly wage x % of disability (for example, partial disability or temporary disability)
Accordingly, the maximum weekly benefit rate is $1,063.05 for compensable lost time for workers' compensation claims with dates of injury during the period from July 1, 2021, through June 30, 2022.

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