BY THE NUMBERS
An employee must notify their employer of an accident within this many days.
What is 30
To get the average weekly wage, divide total income by this number of weeks
What is 52?
Form used by employee to officially give notice to the employer and file claim with the Commission
What is a Form 18?
The state agency that handles Workers Compensation matters
What is the Industrial Commission?
This Industrial Commission office handles most motions, such as motions to compel discovery and payment of benefits
What is Executive Secretary?
A claim must be filed with the Industrial Commission within this amount of time
What is two years?
To get the Compensation rate, multiply the average weekly wage by this
What is 2/3?
Form filed by the employer to report an accident to the Commission
What is a Form 19?
Except in emergencies, this party has the right to direct medical treatment
Who is the Employer/Carrier?
In a death case, a person can recover up to $10,000 for this
What are funeral expenses?
An employee must travel this many miles to be entitled to reimbursement
What is 20?
The minimum weekly compensation rate
What is $30
Form used to accept claim
What is a Form 60?
The entity that hears an appeal from an Opinion and Award entered by the Deputy Commissioner
What is the Full Commission?
This Supreme Court case determined that Workers Compensation may not be the exclusive remedy for intentional misconduct by the employer
What is Woodson v. Rowland?
Maximum number of weeks most workers can receive temporary total disability benefits
What is 500 weeks?
Use this Form to list the employee's earnings and days worked
What is a Form 22?
Form used to generally pay a disability rating
Form 26A
This type of expert is normally needed in asserting an intoxication defense
What is a toxicologist?
The Industrial Commission Fee for review and approval of clincher agreements
What is $400?
No disability payments are owed until an employee has been out of work this many days.
What is seven?
Wages in this type of employment are generally excluded from average weekly wage calculation
What is a second job?
Form used for a Trial Return to Work
What is a Form 28T?
This entity at the Industrial Commission hears Emergency Medical Motions
Who is the Chief Deputy Commissioner?
This section of the Worker's Compensation statute governs the rights and remedies against third parties who cause injury to the employee
What is 97-10.2?