DEATH BENEFITS
FORMS II
WHO'S WHO
NUTS & BOLTS II
FAMOUS CASES
100

Maximum number of weeks death benefits are generally paid.

What is 500?

100

This Form is used to deny a claim.

What is Form 61?

100
This person is the current Chairman of the Commission.

Who is Philip Baddour?

100

In many cases involving motor vehicle accidents, this test should be administered.

What is alcohol & drug testing?

100

This case dealt with the standard for proving the right to extended benefits beyond 500 weeks.

What is Sturdivant?

200

In a death case, a person can recover up to $10,000 for this.

What are funeral costs?

200
When you just can't decide, you can use this form.

What is Form 63?

200

She is the Executive Secretary of the Commission.

Who is Meredith Henderson?

200

The fee for review and approval of a settlement agreement.

What is $400?

200
Workers' compensation is not always the exclusive remedy against the employer based on this case.

What is Woodson?

300

In addition to a Form 19, this form must also be filed in a death case.

What is Form 29?

300
Either side can ask for a full evidentiary hearing by filing this form.

What is Form 33?

300

These Commissioners spoke at this conference.

Who are Griffin, Gillen & Taylor?

300
This Industrial Commission office handles most motions.

What is the Executive Secretary's office?

300

An injured employee may be able to sue a co-worker in certain circumstances according to this case.

What is Johnson vs. Pleasant?

400

A beneficiary may recover more than 500 weeks if they haven't reached this age after 500 weeks.

What is age 18?

400

Use this form to try and get plaintiff's benefits stopped.

What is Form 24?

400

He is in charge of the Commission's mediation section.

Who is Kevin Howell?

400

An employee must provide written notice of an accident within this number of days.

What is 30?

400

The four-prong test for establishing disability arose from this seminal case.

What is Russell vs. Lowes?

500

A widow/widower getting more than 500 weeks due to disability cannot do this or they lose benefits.

What is remarry?

500

Plaintiffs use this form to request lifetime medical benefits.

What is Form 18M?

500

She is the Director of Claims Administration.

Who is Ashley Moore?

500
This entity hears an appeal from an Opinion & Award of the Deputy Commissioner.

What is the Full Commission?

500

Events occurring during a "cognizable time period" can still constitute a specific traumatic incident for a back injury per this case.

What is Richards vs. Town of Valdese?

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