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Workmans Comp Back Injury Claim
Question:
I am in the process of filling out some forms for my employers comp carrier. The forms ask for basic info, such as type of injury, date of injury, any past illnesses, stuff like that. I have a repetitive stress injury, caused by 15 years of heavy equipment operation. Are there any do's or don'ts when filling out these forms?


Answer:

Rule #1 is always tell the truth. When you file a "WORKERS" compensation claim, you must assume that at some point in the future all your past medical records will become an issue. Never make an untrue statement, especially if it contradicts statements and diagnoses of past medical providers.

For example, if your condition is preexisting, you might decide to play lawyer and conceal that fact on the theory your employer is only responsible for virgin injuries. Then one day you file a W/C Appeal Board suit and all your medical records are subpoenaed. Something like that could really damage your credibility, possibly subject you to perjury charges, and reduce any settlement/verdict.

Rule #2 is be sure about what you put in writing. Take the time to make sure your answers are accurate since misstatements are just as bad as lies.

Rule #3 is to be accurate about your injury. If it is truly causing pain, suffering and inability to work, document everything. Any ultimate settlement is based, in part, on a percentage of total disability. It's hard to reconcile a back injury claim that "makes it hard to work because you cannot concentrate" with a future claim of total disability unless you document progressive deterioration.

Rule #4 is to assume your employer will have a private detective investigate you, which also means speaking to your friends and neighbors to determine how your injury has affected you. Employers are highly suspicious when the claimed injury is not witnessed by anyone except the employee. Considering that statistics estimate that between 40-85% of all Workers Comp claims are either partially or totally fraudulent.






 
 
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