Receipt Of Compensation Paid | Pdf Fpdf Doc Docx | Delaware

 Delaware   Workers Compensation 
Receipt Of Compensation Paid | Pdf Fpdf Doc Docx | Delaware

Last updated: 1/5/2024

Receipt Of Compensation Paid

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Description

RECEIPT OF COMPENSATION PAID. This form is used by the Office of Workers' Compensation in the State of Delaware to acknowledge the receipt of compensation paid to an employee in settlement of a workers' compensation claim. The form includes details such as the date of receipt, the amount received, the type of compensation, the employee's name, the start and termination dates of the compensation period, and the employee's signature. It clarifies that signing the receipt doesn't release the employer or insurance carrier from their workers' compensation liability, and the claimant still retains the right to petition for additional benefits within a specified time frame. www.FormsWorkflow.com

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