Petition To Determine Compensation Due To Injured Employee | Pdf Fpdf Docx | Delaware

 Delaware   Workers Compensation 
Petition To Determine Compensation Due To Injured Employee | Pdf Fpdf Docx | Delaware

Last updated: 8/21/2023

Petition To Determine Compensation Due To Injured Employee

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Description

PETITION TO DETERMINE COMPENSATION DUE TO INJURED EMPLOYEE. This form is used in Delaware to petition the Industrial Accident Board to determine compensation for an injured employee when an agreement with the employer couldn't be reached. It involves providing details about the employee, the accident, medical treatment, work history, and more. The form is submitted to the Board, requesting a hearing and decisions based on facts and the law. It concludes with the employee's signature and affirmation of accuracy. www.FormsWorkflow.com

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