
Last updated: 3/12/2025
Notice Of Intention To Close Claim {D-31a}
Start Your Free Trial $ 14.00What you get:
- Instant access to fillable Microsoft Word or PDF forms.
- Minimize the risk of using outdated forms and eliminate rejected fillings.
- Largest forms database in the USA with more than 80,000 federal, state and agency forms.
- Download, edit, auto-fill multiple forms at once in MS Word using our Forms Workflow Ribbon
- Trusted by 1,000s of Attorneys and Legal Professionals
Description
D-31a - NOTICE OF INTENTION TO CLOSE CLAIM (Pursuant to NRS 616C.235(1)). This form is a formal notification issued by a workers' compensation insurer in Nevada, informing an injured worker that their claim is scheduled to be closed within 70 days from the date of the notice. The closure is being processed even though all potential benefits may not have been fully paid. This notice is typically issued when the insurer determines that the worker is not currently receiving medical treatment and does not appear to need further benefits. However, the worker is given an opportunity to inform the insurer if they have upcoming medical appointments that might impact the decision to close the claim. The notice also explains the worker’s right to appeal the closure under NRS 616C.305 and NRS 616C.315-616C.385. If the worker disagrees, they must file an appeal with the Nevada Department of Administration, Hearings Division within 70 days. Additionally, the notice outlines the worker’s right to request claim reopening under NRS 616C.390 if their condition worsens and requires further medical treatment. The reopening request must be supported by a doctor’s report linking the condition to the original work injury. The purpose of this notice is to notify the worker in advance of claim closure, provide appeal options, and explain the process for reopening the claim if necessary. www.FormsWorkflow.com
Related forms
-
Application For Reimbursement Of Claim Related Travel Expenses
Nevada/Workers Comp/ -
Assignment To Division For Workers Compensation Benefits
Nevada/Workers Comp/ -
Authorization Request For Additional Chiropractic Treatment
Nevada/Workers Comp/ -
Authorization Request For Additional Physical Therapy Treatment
Nevada/Workers Comp/ -
Election For Nevada Workers Compensation Coverage For Out Of State Injury
Nevada/Workers Comp/ -
Election Of Coverage By Employer And Employer Withdrawal Of Election Of Coverage
Nevada/Workers Comp/ -
Employees Declaration Of Election To Report Tips
Nevada/Workers Comp/ -
Employees Election To Reject Coverage And Election To Waive Rejection Of Coverage For Excluded Persons
Nevada/Workers Comp/ -
Health Insurance Claim Form
Nevada/Workers Comp/ -
Insurers Subsequent Injury Checklist
Nevada/Workers Comp/ -
Interest Calculation For Compensation Due
Nevada/Workers Comp/ -
Lump Sum Rehabilitation Agreement
Nevada/Workers Comp/ -
Notice Of Election For Compensation Benefits Under Uninsured Employer Statutes
Nevada/Workers Comp/ -
Permanent Total Disability Report Of Employment
Nevada/Workers Comp/ -
Rehabilitation Lump Sum Request
Nevada/Workers Comp/ -
Request For Hearing - Contested Claim
Nevada/Workers Comp/ -
Request For Hearing - Uninsured Employer
Nevada/Workers Comp/ -
Sole Proprietor Coverage
Nevada/Workers Comp/ -
Temporary Partial Disability Calculation Worksheet
Nevada/Workers Comp/ -
Wage Calculation Form For Claims Agents Use
Nevada/Workers Comp/ -
Policy Termination-Cancelation-Reinstatement Notice
Nevada/Workers Comp/ -
Proof Of Coverage Notice
Nevada/Workers Comp/ -
Request For Reimbursement Of Expenses For Travel And Lost Wages
Nevada/Workers Comp/ -
Complaint Form (Northern Inusurers)
Nevada/Workers Comp/ -
Complaint Form (Southern Insurers)
Nevada/Workers Comp/ -
Index Of Claims System Claim Registration
Nevada/Workers Comp/ -
Employers Report Of Industrial Injury Or Occupational Disease
Nevada/Workers Comp/ -
Notice Of Injury Or Occupational Disease Incident Report
Nevada/Workers Comp/ -
Reaffirmation Retraction Of Lump Sum Request
Nevada/Workers Comp/ -
Injured Employees Request For Compensation
Nevada/Workers Comp/ -
Firefighters And Police Officers Medical History
Nevada/Workers Comp/ -
Firefighters And Police Officers Lung Examination
Nevada/Workers Comp/ -
Firefighters And Police Officers Limited Heart Examination
Nevada/Workers Comp/ -
Firefighters And Police Officers Hearing Examination
Nevada/Workers Comp/ -
Occupational Disease Claim Report
Nevada/Workers Comp/ -
Permanent Partial Disability Award Calculation Work Sheet
Nevada/Workers Comp/ -
Permanent Partial Disability Award Calculation Work Sheet For Disability Over 30 Percent Body Basis
Nevada/Workers Comp/ -
Election Of Lump Sum Payment Of Compensation
Nevada/Workers Comp/ -
Election Of Lump Sum Payment Of Compensation For Disability Greater Than 30 Percent
Nevada/Workers Comp/ -
Firefighters And Police Officers Extensive Heart Examination
Nevada/Workers Comp/ -
Notice Of Claim Acceptance
Nevada/Workers Comp/ -
Employees Claim For Compensation Report Of Initial Treatment
Nevada/Workers Comp/ -
Employers Wage Verification Form
Nevada/Workers Comp/ -
Affirmation Of Compliance With Mandatory Industrial Insurance Requirements
Nevada/Workers Comp/ -
Request For Additional Medical Information And Release Form
Nevada/Workers Comp/ -
Informational Poster - Displayed By Employer
Nevada/Workers Comp/ -
Permanent Work Related Mental Impairment Rating Report Work Sheet
Nevada/Workers Comp/ -
Employees Claim For Compensation - Uninsured Employer
Nevada/Workers Comp/ -
Fatality Report
Nevada/Workers Comp/ -
Notice Of Intention To Close Claim
Nevada/Workers Comp/ -
Notice Of Circumstances Under Which A Claim May Be Closed
Nevada/Workers Comp/ -
Notice Of Intention To Close Claim No Evaluation
Nevada/Workers Comp/ -
Notice Of Intention To Close Claim Evaluation Scheduled
Nevada/Workers Comp/ -
Request For Rotating Rating Physician Or Chiropractor
Nevada/Workers Comp/ -
Physician And Chiropractor Progress Report Certification Of Disability
Nevada/Workers Comp/