Notice Of Claim Acceptance {D-30}

D-30 - NOTICE OF CLAIM ACCEPTANCE (Pursuant to NRS 616C.065). This form is related to workers' compensation claims in Nevada. It informs the recipient that their claim has been accepted by the insurer. The notice provides details such as the claim number, date of injury, employer, insurer, and claims administrator. It states that the claimant retains the right to request an expansion of the claim, and outlines the procedure for doing so. The notice also mentions the option to appeal the determination and provides contact information for the Hearings Division. The letter is signed by a claims adjuster and includes references to specific forms for the recipient to use. www.FormsWorkflow.com