PA Form Book by Felix Yanko

BUREAU OF WORKERS’ COMPENSATION FORMS ERIE WARREN

SMETHPORT

TOWANDA WELLSBORO

COUDERSPORT

MEADVILLE

SCRANTON HERMITAGE

BROOKVILLE

WILKES-BARRE

WILLIAMSPORT LOCK HAVEN

NEW CASTLE

BLOOMSBURG

CLEARFIELD BUTLER

STROUDSBURG

HAZELTON

STATE COLLEGE POTTSVILLE

MONACA

INDIANA

PITTSBURGH GREENSBURG

EASTON ALLENTOWN

LEWISTOWN ALTOONA

HUNTINGDON

HARRISBURG

JOHNSTOWN

READING DRESHER

WASHINGTON LANCASTER UNIONTOWN

PHILADELPHIA MALVERN UPPER DARBY

YORK

CHAMBERSBURG

DOYLESTOWN BRISTOL

GETTYSBURG

PITTSBURGH

HARRISBURG

SCRANTON

PHILADELPHIA

WALTER E. WERNER, III

DENNIS P. CULLEN

JOSEPH M. CAPUTO

JOHN F. HAYES

650 WASHINGTON ROAD SUITE 700 PITTSBURGH, PA 15228

1011 MUMMA ROAD SUITE 201 LEMOYNE, PA 17043

WWERNER@C-WLAW.COM (412) 563-2500

DCULLEN@C-WLAW.COM (717) 975-9600

409 LACKAWANNA AVENUE SUITE 402 SCRANTON, PA 18503 JCAPUTO@C-WLAW.COM (570) 347-0600

450 SENTRY PARKWAY SUITE 200 BLUE BELL, PA 19422 JHAYES@C-WLAW.COM (610) 567-0700

New Jersey and West Virginia Offices MT. LAUREL, NJ

WHEELING, WV

CHARLESTON, WV

GREGORY C. DICARLO

NATHAN D. HUGHES

JEFFREY B. BRANNON

155 GAITHER DRIVE SUITE B MT. LAUREL, NJ 08054

GDICARLO@C-WLAW.COM (856) 761-3800

1144 MARKET STREET SUITE 300 WHEELING, WV 26003

NHUGHES@C-WLAW.COM (304) 232-3600

WWW.C-WLAW.COM

400 TRACY WAY SUITE 110 CHARLESTON, WV 25311

JBRANNON@C-WLAW.COM (304) 341-0500

DENIAL LIBC-496 NCP LIBC-495 NTCP LIBC-501 LIBC-502

Information for Notice of Workers’ Compensation Denial....……………………….... 1-2 Notice of Workers’ Compensation Denial……………………………………………. 1-3 Information for Notice of Compensation Payable…………………………………….. 1-6 Notice of Compensation Payable……………………………………………………… 1-7 Information for Notice of Temporary Compensation Payable………………………… 1-10 Notice of Temporary Compensation Payable…………………………………………. 1-11 Notice Stopping Temporary Compensation Payable……………………………….. 1-13

ADJUSTER FORMS

LIBC-494C LIBC-344 LIBC-766 LIBC-765 LIBC-767 LIBC-764 LIBC-500 LIBC-751 LIBC-757 LIBC-761 LIBC-762 LIBC-763

LIBC-10 LIBC-392A

Information for Statement of Wages…………………………………………………... 1-15 Information for Calculation of Compensation Rate…………………………………... 1-17 Statement of Wages (for injuries occurring on and after June 24, 1996………………. 1-19 Average Weekly Wage Schedule (2008 – 2012)……………………………………… 1-21 Employer’s Report of Occupational Injury or Disease………………………………... 1-23 Information for Impairment Rating Evaluation………………………………………...1-25 Request for Designation of a Physician to Perform an Impairment Rating Evaluation........ 1-27 Impairment Rating Evaluation Appointment………………………………………….. 1-29 Impairment Rating Determination Face Sheet………………………………………… 1-31 Notice of Change of Workers’ Compensation Disability Status………………………. 1-33 Employer’s Workers’ Compensation Insurance Provider Information……………….. 1-35 Notification of Suspension or Modification Pursuant to SS 413(C) & (D)………….... 1-37 Notice of Ability to Return to Work…………………………………………………... 1-39 Notice of Workers’ Compensation Benefit Offset…………………………………….. 1-41 Notice of Suspension for Failure to Return Form LIBC-760…………………………. 1-43 Notice of Reinstatement of Workers’ Compensation Benefits………………………... 1-45 Impairment Rating Evaluation Forms (LIBC-764, 765, 766, and 767) Reproduction Instructions……………………………………………………………... 1-47 Notice to All Insurance Carriers, TPAs, and Self Insured Employers………………… 1-49 Authorization for Alternative Delivery of Compensation Payments………………….. 1-51 Final Statement of Account of Compensation Paid…………………………………… 1-53

AGREEMENTS LIBC-336 LIBC-337 LIBC-338 LIBC-339 LIBC-340 LIBC-380 LIBC-498 LIBC-755 LIBC-749

Agreement for Compensation for Disability or Permanent Injury……………………. 2-1 Supplemental Agreement for Compensation for Disability or Permanent Injury…….. 2-3 Agreement for Compensation for Death………………………………………………. 2-5 Supplemental Agreement for Compensation for Death……………………………….. 2-7 Agreement to Stop Weekly Workers’ Compensation Payments (Final Receipt)……... 2-9 Third Party Settlement Agreement……………………………………………………. 2-11 Commutation of Compensation……………………………………………………….. 2-13 Compromise and Release Agreement by Stipulation Pursuant to Section 449 of the Workers’ Compensation Act…………………………………………………………... 2-15 Death Claim Supplement to Compromise & Release Agreement…….......................... 2-19

EMPLOYEE REPORTING FORMS LIBC-750 LIBC-756 LIBC-760

Employee Report of Wages and Physical Condition………………………………….. 3-1 Employee’s Report of Benefits………………………………………………………... 3-3 Employee Verification of Employment, Self-Employment or Change in Physical Condition……………………………………………………………………. 3-5

PETITIONS LIBC-362 LIBC-363 LIBC-376 LIBC-378 LIBC-758 LIBC-384 LIBC-386 LIBC-396 LIBC-499 LIBC-662 LIBC-25/26 LIBC-550 LIBC-375

Claim Petition for Workers’ Compensation…………………………………………… 4-1 Fatal Claim Petition for Compensation by Dependents of Deceased Employees…….. 4-3 Petition for Joinder of Additional Defendant………………………………………….. 4-5 Petition to (Check any that apply)……………………………………………………... 4-7 Notice to Claimant (to be attached to LIBC-378 Petition)……………………………. 4-9 Fatal Claim Petition for Compensation by Dependents for Death Covered by the Pennsylvania Occupational Disease Act………………………………………………. 4-11 Fatal Claim Petition for Compensation by Dependents for Death Resulting from Occupational Disease………………………………………………………………….. 4-13 Occupational Disease Claim Petition………………………………………………….. 4-15 Petition for Physical Examination or Expert Interview of Employee…………………. 4-17 Application for Supersedeas Fund Reimbursement…………………………………… 4-19 Appeal from Judge’s Findings of Fact and Conclusions of Law……………………… 4-21 Claim Petition for Benefits from the Uninsured Employer and Uninsured Employer’s Guaranty Fund ………………………………………………………………………… 4-23 Claim Petition for Additional Compensation from the Subsequent Injury Fund……… 4-25

ANSWERS TO PETITIONS LIBC-364B LIBC-374 LIBC-377 LIBC-524

Defendant’s Answer to Claim Petition Under Pennsylvania Occupational Disease Act….. 5-1 Defendant’s Answer to Claim Petition Under Pennsylvania Workers’ Compensation Act……………………………………………………………………... 5-3 Answer to Petition to (Check all the apply)…………………………………………… 5-5 Defendant’s Answer to Occupational Disease Claim Petition Section 301(i) Only…..…… 5-7

INFORMAL CONFERENCE FORMS LIBC-753 LIBC-754

Notice of Request for an Informal Conference………………………………………... 6-1 Informal Conference Agreement Form………………………………………………... 6-3

PHYSICIAN’S AFFIDAVIT OF RECOVERY AND MEDICAL FORMS LIBC-9 LIBC-134 LIBC-134F LIBC-497

Medical Report Form………………………………………………………………….. 7-1 Dismemberment Chart………………………………………………………………... 7-3 Dismemberment Chart………………………………………………………………... 7-5 Physician’s Affidavit of Recovery…………………………………………………….. 7-7

UTILIZATION REVIEW AND FEE REVIEW FORMS LIBC-507 LIBC-601 LIBC-603 LIBC-606

Application for Fee Review Pursuant to Section 306(f.1)…………………………….. 8-1 Instructions for Utilization Review Request…………………………………………... 8-3 Utilization Review Request……………………………………………………………. 8-5 Petition for Review of Utilization Review Determination…………………………….. 8-7 Request for Hearing to Contest Fee Review Determination……………….…………. 8-9

EMPLOYER/EMPLOYEE FORMS LIBC-510 LIBC-14 LIBC-14A LIBC-14B

Employer’s Application to Elect Domestic Employees to Come Within Provisions of The Workers’ Compensation Act: Section 321………………………………………. 9-1 Employer’s Light Duty Return to Work Form………………………………………… 9-3 Instructions for Religious Exception Application……………………………………... 9-5 Section 304.2 Application for Religion Exception of Specified Employees………….. 9-7 Employee’s Affidavit and Waiver of Workers’ Compensation Benefits and Statement of Religious Sect………………………………………………………………………. 9-9

EMPLOYEE ACKNOWLEDGEMENT FORMS Information for Employee Acknowledgement Forms………………………………… 10-1 Notice of Employee’s Rights & Duties………………………………………………... 10-3 Workers’ Compensation Information Form…………………………………………… 10-5 MISCELLANEOUS FORMS LIBC-480 LIBC-551

Subpoena………………………………………………………………………………. 11-1 Notice of Claim Against Uninsured Employer………………………………………... 11-3 Notes…………………………………………………………………………………… 11-5

1-1

INFORMATION FOR NOTICE OF WORKERS’ COMPENSATION DENIAL (LIBC-496) DEADLINE:

 21 days – Form must be filed within 21 days after the Employer is notified of work injury

INJURY INFORMATION  When denying a claim, a broad denial is suggested.  Use same words for all three questions. Such as the following:  Part of body injured: ANY AND ALL  Nature of injury: ANY AND ALL  Accident/injury description narrative: ANY AND ALL

NOTICE

 In the middle of the form is a new section referred to as “Notice”, not to be confused with the “Date of Notice” at the top left of the form, which is the date you are issuing this form.  For “Notice”, the form allows you to use any of the following dates, which may be different; o the date that the Employer  received notice  knew of alleged injury or  date of employee’s claimed disability  Remember whatever date you use make sure that it is within 21 days of the date you are executing the form.

WHICH BOX SHOULD I CHECK?  Box #1. We strongly recommend that you only select Box #1 in every case, since it is the only true denial, as all the other boxes are an admission of some sort.  If you “disregard” the last recommendation (LOL!) and want to select any of the Boxes #2-6, note you are admitting that a work injury occurred, thus be as specific as possible. Such as the following:  body parts affected: LEFT WRIST FRACTURE  type of injury: LEFT WRIST FRACTURE  description of injury: LEFT WRIST FRACTURE

LEGAL DISCLAIMER:

These instructions may change without notice based upon new case law, amendments to the Act, WC Rules, and/or BWC Regulations. Feel free to call one of the attorneys at Cipriani & Werner, P.C. using the phone numbers on the cover of this book to confirm that the law has not changed. Please note that the colored boxes on this form were added by C&W for instructional purposes only. Copies of forms acceptable to the Bureau should be obtained from the Bureau or a Bureau-approved vendor.

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NOTICE OF WORKERSâ&#x20AC;&#x2122; COMPENSATION DENIAL

DEPARTMENT OF LABOR & INDUSTRY BUREAU OF WORKERSâ&#x20AC;&#x2122; COMPENSATION

DATE OF NOTICE

00 DD <<<< E03/O<EE 6OCIA/ 6EC85IT< N80%E5 O5 :C ID N80%E5

DATE OF IN-85<

EMPLOYEE

:CAI6 C/AI0 N80%E5

<<<<

EMPLOYER

First name

Name

Last name

Address

Date of birth

Address

City/Town

Address

County

City/Town

State

ZIP

State

Telephone

ZIP

FEIN

INSURER or THIRD PARTY ADMINISTRATOR (if self-insured)

County

Name

Telephone

ALLEGED INJURY INFORMATION

Address Address

Part of body injured

City/Town

Nature of injury Accident/injury description narrative

State

ZIP

County Telephone

FEIN

Contact

Check if occupational disease

NAIC code

or Insurer code

Insurer/TPA claim # NOTICE The employer/insurer has decided to deny you workersÂś compensation beneÂżts <ou have the riJht to contest this denial by timely ÂżlinJ a petition with the bureau Petitions may be either electronically Âżled in :CAIS or sent to the :orkersÂś Compensation OfÂżce of Adjudication N Seventh St Suite +arrisburJ PA - Do not use this form to accept a medical-only claim. This denial shall be sent to the employee or dependent and Âżled with the bureau by electronic batch upload in :CAIS by electronically attachinJ the document to a claim in :CAIS or by mail no later than days after notice or knowledJe to the employer of the employeeÂśs disability or death Date the employer received notice or knew of alleJed injury or date of employeeÂśs claimed disability This date must be completed

<<<<

The employer/insurer declines to pay workersÂś compensation beneÂżts to claimant because The employee did not suffer a work-related injury The deÂżnition of injury also includes aJJravation of a pre-e[istinJ condition or disease contracted as a result of employment The injury was not within the scope of employment The employee was not employed by the defendant The employee has not suffered a loss of waJes as a result of an already accepted injury The employee did not Jive notice of his/her injury or disease to the employer within days within the meaninJ of Sections - of the :orkersÂś Compensation Act Other Jood cause Please e[plain fully in the space below

See Reverse Side For Employeesâ&#x20AC;&#x2122; Rights To Contest Denial Claims representativeâ&#x20AC;&#x2122;s name

(typed/printed)

Telephone

Claims representativeâ&#x20AC;&#x2122;s siJnature LIBC-496 REV 09-13 (Page 1)

1-3

EMPLOYEES’ REIGHTS TO CONTEST DENIAL You have the right to contest this denial of your claim for workers’ compensation benefits. Your petition will be heard by a workers’ compensation judge. You and your employer will have the opportunity to testify and provide medical evidence with respect to your claim. Both you and your employer will have the right to bring witnesses. You may retain an attorney to represent you in this proceeding although representation by an attorney is not required by law. Because of the legal complications that can arise in occupational disease and workers’ compensation cases, you may want to consider legal advice. If you do not know how to contact an attorney, please contact your local Bar Association or the Pennsylvania Bar Association at 800-692-7375 for guidance in obtaining an attorney. The procedure for filing a petition is as follows: 1. To file a petition you may log onto the WCAIS system at www.dli.state.pa.us/WCAIS, or upon requent, a petition, Form LIBC-362, will be mailed to you. You or your attorney must complete and return the original petition to the Workers’ Compensation Office of Adjudication by electronically attaching the document to a claim in WCAIS or by mail to the Workers’ Compensation Office of Adjudication, 1010 N. Seventh St., Suite 202, Harrisburg, PA 17102-1400. 2. A petition for an injury must be filed within three years of the date of injury. For occupational disease claims, disability or death must occur within 300 weeks from last exposure. A petition must be filed no later than three years from that date. Failure to file a petition within these rules may result in a loss of your claim. 3. You must give notice of your work-related injury or disease to your employer within 120 days of the date you knew (or should have known) that you were injured or had contracted a work-related disease. 4. When your petition is received by the Workers’ Compensation, Office of Adjudication, it will be assigned to a judge for hearing. You will be notified of your hearing date. All parties are requested to be fully prepared prior to the first hearing. If you need petition forms or have questions, please contact the Workers’ Compensation, Office of Adjudication.

Any individual filing misleading or incomplete information knowingly and with the intent to defraud is in violation of Section 1102 of the Pennsylvania Workers’ Compensation Act, 77 P.S. §1039.2, and may also be subject to criminal and civil penalties under 18 Pa. C.S.A. §4117 (relating to insurance fraud).

Employer Information Services 717.772.3702

Claims Information Services toll-free inside PA: 800.482.2383 local & outside PA: 717.772.4447

Hearing Impaired toll-free inside PA TTY: 800.362.4228 local & outside PA TTY: 717.772.4991

Auxiliary aids and services are available upon request to individuals with disabilities.

Equal Opportunity Employer/Program

LIBC-496 REV 09-13 (Page 2)

1-4

Email ra-li-bwc-helpline@pa.gov

*496*

1-5

INFORMATION FOR NOTICE OF COMPENSATION PAYABLE (LIBC-495) DEADLINE:

 21 days – Form must be filed within 21 days after the Employer is notified of work injury

INJURY INFORMATION  When accepting liability for a claim, be specific.  Use same words for all three questions. Such as the following:  Part of body injured: LEFT WRIST FRACTURE  Nature of injury: LEFT WRIST FRACTURE  Accident/injury description narrative: LEFT WRIST FRACTURE

MEDICAL ONLY BOX  You have the option to select the medical only box. If you do so, you do not need to fill out the wage information..

LEGAL DISCLAIMER:

1-6

NOTICE OF COMPENSATION PAYABLE

DEPARTMENT OF LABOR & INDUSTRY BUREAU OF WORKERSâ&#x20AC;&#x2122; COMPENSATION

DATE OF NOTICE

YYYY DATE OF INJURY

EMPLOYEE SOCIAL SEC85ITY N8M%E5 O5 :C ID N8M%E5

EMPLOYEE

:CAIS CLAIM NUM%ER

YYYY

EMPLOYER

First name

Name

Last name

Address

Date of birth

Address

City/Town

Address

County

City/Town

State

ZIP

Telephone

State

ZIP

FEIN

INSURER or THIRD PARTY ADMINISTRATOR (if self-insured)

County

Name

Telephone

Address

INJURY INFORMATION

Address

Part of body injured

City/Town

Nature of injury

State

ZIP

County

Accident/injury description narrative

Telephone

FEIN

Contact

Check if occupational disease

NAIC code

or Insurer code

Insurer/TPA claim # NOTICE TO EMPLOYER This Notice should be clearly completed (preferably typed) and Âżled with the %ureau FilinJ with the %ureau by electronic batch upload in :CAIS by electronically attachinJ the document to a claim in :CAIS or by mail A copy must be sent to the injured employee with the Âżrst payment of compensation NOTICE TO EMPLOYEE If any Tuestions arise reJardinJ these payments contact the representative named at the bottom of this Notice If you cannot resolve a problem with the employer representative you may call the %ureau at - - Compensation is payable as follows: Check only if compensation for medical treatment (medical only, no loss of wages) will be paid subject to the :orkersâ&#x20AC;&#x2122; Compensation Act Compensation for medical treatment is payable from date of injury For compensation for medical treatment only you should not complete numbers throuJh :eekly compensation rate

Payments beJin on

YYYY

Date Âżrst check mailed

%ased on an averaJe weekly waJe of

Payments will hereafter be made:

:eekly

(Compensation for loss of waJes is payable for Âżrst days only if disability e[tends or more days compensation for medical treatment is payable from the date of injury ) if the date e[ceeds the -Rule check this bo[

and e[plain on back of this form

YYYY

%iweekly

Other (Specify):

Any termination suspension or modiÂżcation of these payments must be made by aJreement Âżnal receipt administrative or judicial determination or as otherwise provided in the :orkersâ&#x20AC;&#x2122; Compensation Act or ReJulations of the Department

(OVER) LIBC-495 REV 09-13 (Page 1)

1-7

5. If injury involves loss under Section 306(c) (except for disfigurement of the head, face or neck) and employee has returned to work, complete the following information. (a) Compensation is payable for

weeks

days for loss or loss of use of

(b) Employee returned to work without loss of income on MM

(d) Total (a) and (c) payable

weeks

YYYY

days (Up to (b) above and subject to 7-day waiting period)

days.

(e) Credit taken for disability benefits paid $

6. Remarks:

Claims representative’s name

Telephone

(typed/printed)

Claims representative’s signature

COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF LABOR & INDUSTRY BUREAU OF WORKERS’ COMPENSATION 1171 S. CAMERON STREET, ROOM 103 HARRISBURG, PA 17104-2501 (TOLL FREE) 800.482.2383

Employer Information Services 717.772.3702

claims Information Services toll-free inside PA: 800.482.2383 local & outside PA: 717.772.4447

Hearing Impaired toll-free inside PA TTY: 800.362.4228 local & outside PA TTY: 717.772.4991

Auxiliary aids and services are available upon request to individuals with disabilities.

Equal Opportunity Employer/Program

LIBC-495 REV 09-13 (Page 2)

1-8

Email ra-li-bwc-helpline@pa.gov

*495*

1-9

INFORMATION FOR NOTICE OF TEMPORARY COMPENSATION PAYABLE (LIBC-501) DEADLINES:  

Filing: 21 days – Form must be filed within 21 days after the Employer is notified of work injury. Timing: o The NTCP may be revoked within 90 days from the first day of disability; and o Revocation must be circulated within 5 days of the last payment of wage-loss benefits.  For example: Date of Injury ----------- 01/01/2007 Notice of work injury -- 03/01/2007 Disability ---------------- 01/01/2007 Date form issued ------- 03/17/2007  90 days end on 4/1/2007, which is 90 days after the first date of the Claimant’s disability; note: This is not 90 days after the form was issued.

MEDICAL ONLY BOX  You have the option to select the medical only box. If you do so, you do not need to fill out the wage information.

REVOKING NTCP FORM: 

You must issue two forms to Revoke the NTCP, thus file both; o o

LEGAL DISCLAIMER:

1. NOTICE STOPPING TEMPORARY COMPENSATION (LIBC-502) and 2.. NOTICE OF WORKERS’ COMPENSATION DENIAL (LIBC-496)

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NOTICE OF TEMPORARY COMPENSATION PAYABLE

DEPARTMENT OF LABOR & INDUSTRY BUREAU OF WORKERSâ&#x20AC;&#x2122; COMPENSATION

DATE OF NOTICE

MM DD YYYY EMPLOYEE SOCIAL SECURITY NUM%ER OR :C ID NUM%ER

DATE OF INJURY

EMPLOYEE First name

Name

Last name

Address

Date of birth

Address

City/Town

Address

County

City/Town

State

ZIP

EMPLOYER

:CAIS CLAIM NUM%ER

YYYY

State

Telephone

ZIP

FEIN

INSURER or THIRD PARTY ADMINISTRATOR (if self-insured)

County Telephone

Name Address

INJURY INFORMATION

Address

Part of body injured

City/Town

Nature of injury

State

ZIP

County

Accident/injury description narrative

Telephone

FEIN

Contact

Check if occupational disease

NAIC code

or Insurer code

Insurer/TPA claim # NOTICE TO EMPLOYER: In waJe loss claims a copy of the Notice is to be sent to the injured employee with the Âżrst payment of temporary compensation. The original must be Âżled with the Department of Labor Industry. Filing with the Department may be completed by electronic batch uploaded in :CAIS by electronically attaching the document to a claim in :CAIS or by mail. In wage loss claims the day period begins on the Âżrst day of disability. The employerâ&#x20AC;&#x2122;s/insurerâ&#x20AC;&#x2122;s failure to Âżle a notice as provided in Section 406. 1(d)(5) of the Act advising the employee that the employer is ceasing temporary compensation shall be deemed an admission of liability, and this notice shall be converted to a Notice of Compensation Payable. NOTICE TO EMPLOYEE: This Notice of temporary compensation payments is for a period of up to 90 days and is not an admission by your employer that it is responsible for your injury. If any questions arise, contact the representative at the bottom of this Notice. If you need further information, call the Bureau at 800-482-2383.

Compensation is payable as follows: Check only if compensation for medical treatment (medical only, no loss of wages) will be paid subject to the Workersâ&#x20AC;&#x2122; Compensation Act. Compensation for medical treatment is payable from date of injury. If employer stops temporary compensation in accordance with the Act, employer will not pay for treatment received on or after the stoppage date. For compensation for medical treatment only, you should not complete numbers 1 or 3. 1. Weekly compensation rate $

Based on an average weekly wage of $

2. Ninety-day period begins on MM

3. Payments will hereafter be made:

(A statement of wages must accompany this form.)

. DD

Weekly

and ends on MM

YYYY

Biweekly

YYYY

Other (Specify)

until payments cease or the ninety-day maximum period for temporary compensation expires.

Claims representativeâ&#x20AC;&#x2122;s name Claims representativeâ&#x20AC;&#x2122;s signature LIBC-501 REV 09-13 (Page 1)

Telephone (OVER)

1-11

4. Remarks

employer information services 717.772.3702

claims information services toll-free inside PA: 800.482.2383 local & outside PA: 717.772.4447

Hearing impaired toll-free inside PA TTY: 800.362.4228 local & outside PA TTY: 717.772.4991

Auxiliary aids and services are available upon request to individuals with disabilities.

Equal Opportunity Employer/Program

LIBC-501 REV 09-13 (Page 2)

1-12

email ra-li-bwc-helpline@pa.gov

*501*

NOTICE STOPPINg TEMPORARY COMPENSATION

department of labor & industry bureau of workers’ compensation

DATE OF INJURY

EMPLOYEE SOCIAL SECURITY NUMBER OR WC ID NUMBER

EMPLOYEE

WCAIS CLAIM NUMBER

YYYY

EMPLOYER

First name

Name

Last name

Address

Date of birth

Address

City/Town

Address

County

City/Town

State

ZIP

State

Telephone

County

ZIP

FEIN

INSURER or THIRD PARTY ADMINISTRATOR (if self-insured)

Telephone

Name Address

DATE OF THIS NOTICE MM

Address

City/Town

YYYY

State

ZIP

County Telephone

FEIN

NAIC code

or Insurer code

Insurer/TPA claim #

NOTICE TO EMPLOYEE: This notice is being sent because payment of compensation, being paid pursuant to the Notice of Temporary Compensation Payable, is being stopped as of

YYYY

The payment of temporary compensation does not mean that your employer assumed responsibility for your injury. Your employer and you retain all rights, defenses and obligations with regard to the claim. Further, the payment of temporary compensation may not be used to support a claim for benefits in a future proceeding. WE HAVE ACCEPTED RESPONSIBILITY FOR YOUR CLAIM, AND ATTACHED IS A NOTICE OF COMPENSATION PAYABLE OR AN AGREEMENT FOR COMPENSATION; OR WE HAVE DECIDED NOT TO ACCEPT LIABILITY, AND ATTACHED IS A NOTICE OF WORKERS’ COMPENSATION DENIAL. IF YOU BELIEVE YOU SUFFERED A WORK-RELATED INJURY, YOU WILL BE REQUIRED TO FILE A CLAIM PETITION WITH THE WORKERS' COMPENSATION OFFICE OF ADJUDICATION IN ORDER TO PROTECT YOUR FUTURE RIGHTS.

You have three years from the date of injury or discovery of your condition to file a Claim Petition for benefits. Since time limits can vary depending on the facts of your situation, you may wish to contact an attorney if you believe you may have a claim. Authorized Agent for Insurer or TPA (if self-insured) Claims Representative’s signature Claims Representative’s name (typed/printed) Telephone

NOTICE TO INSURER: This form must be either electronically filed in WCAIS or mailed to the Bureau of Workers’ Compensation, 1171 South Cameron Street, Room 103, Harrisburg, PA 17104-2501 no later than five days after the last payment of temporary compensation. A copy must be sent to the employee.

Employer Information Services 717.772.3702

LIBC-502 REV 09-13

Claims Information Services toll-free inside PA: 800.482.2383 local & outside PA: 717.772.4447

Hearing Impaired toll-free inside PA TTY: 800.362.4228 local & outside PA TTY: 717.772.4991

Auxiliary aids and services are available upon request to individuals with disabilities. Equal Opportunity Employer/Program

Email ra-li-bwc-helpline@pa.gov

*502*

1-13

1-14

INFORMATION FOR STATEMENT OF WAGES (LIBC-494C) INFORMATION TO INCLUDE:  Wages, which include:  Earnings  Tips  Gratuities  weekly board/lodging  commissions  incentive  vacation pay TIME FRAME:  The Average Weekly Wage (AWW) is computed as of the DATE OF THE INJURY (DOI), not the date of disability  The time frame to calculate the AWW is the 12 months of wages prior to the DOI

FIXED WAGES: 

Wages fixed by the month  Multiply monthly wages by 12 and then divide by 52;  Then add weekly board/lodging, gratuities/tips, bonuses, incentive, and vacation pay to arrive at AWW.



Wages fixed by the year  Divide yearly wages by 52 and then add weekly board/lodging, gratuities/tips, bonuses, incentive, and vacation pay to arrive at AWW.

NON-FIXED WAGES:  Question #1: Was Claimant employed for 4 consecutive 13 calendar week periods preceding the injury? If Yes, go to section A.

If No, go to Question #2. Section A:

Take the average of each 13 calendar week period by taking the gross wages earned during that period and dividing by 13; Drop the period with the least earned income; Add averages of the 3 highest periods, then; Divide by 3 to arrive at AWW

Example: Claimant’s pre-injury earnings Q1: $8,000 Q2: $9,000 Q3: $7,800 Q4: $9,300 Step 1: Throw out lowest 13 calendar week period, which is Q3 in above example. Step 2: Average other 3 calendar week periods by dividing each by 13. Q1: $8,000 / 13 = $615.38 Q2: $9,000 / 13 = $692.31 Q4: $9,300 / 13 = $715.38 Step 3: Add averages ($615.38 + $692.31 + $715.38 = $2,023.07) Step 4: Divide total by 3 to arrive at average weekly wage ($2,023.07 / 3 = $674.36) 

Question #2: Was Claimant employed for any consecutive 13 calendar week periods? If Yes, go to section B.

If No, go to Question #3.

LEGAL DISCLAIMER:

1-15

Section B:

Take the average of each 13 calendar week period by taking the gross wages earned during that period and dividing by 13; Add averages of the periods worked, then;

Divide by the number of complete periods to arrive at AWW. Example: Assume that Claimant had only worked for Q1 and Q2 prior to the DOI. Earnings: Q1: $8,000 Q2: $9,000 Q3: 0.00 Q4: 0.00 Step 1: Add average weekly rate for each completed period. (Q1 $615.38 + Q2 $692.31 = $1,307.69). Step 2: Divide by the number of completed periods to arrive at AWW. ($1,307.69 / 2 = $653.85) 

Question #3: Was Claimant employed for less than 13 calendar weeks prior to the injury? If Yes, go to section C.

If No, go back to Question #2. Section C:

AWW shall be the hourly wage rate multiplied by the number of hours Claimant was expected to work.

Problem: What are the Expected Hours? Most Judges will simply calculate the total earnings and divide by the hours worked to arrive at the AWW, even if the Claimant did not work a complete 13 weeks prior to the DOI. For examples: Claimant is hired with no set hours per week. Claimant worked 4 weeks prior to the DOI. Week #1 - 35 hours Week #2 - 42 hours Week #3 - 48 hours Week #4 - 40 hours  

Claimant worked 165 hours (35 + 42 + 48 + 40), over 4 weeks, (165 / 4), thus his average hours are 41.25 per week. Note: If Claimant earned time and a half for hours over 40, he is sure to argue that his AWW should include overtime earnings.

CONCURRENT EMPLOYMENT:  Concurrent employment is when Claimant is working for more than one employer.  Exclusions from concurrent employers:  volunteer firefighters  income from self-employment Calculation:  Draft two (2) separate LIBC-494C STATEMENT OF WAGES forms  Add AWW of each position job to determine the employee’s aggregate AWW.

Step 1- Complete each Statement of Wages as if Claimant was only employed by that Employer.

Step 2- On Primary Employer’s Statement of Wages (be sure to check off Primary or Concurrent Employer), use comment space in #8 to add the Primary and Concurrent Employer’s AWW together. Step 3- Calculate Claimant’s Compensation Rate based on the aggregate AWW. Example:

LEGAL DISCLAIMER:

$600.00 + $350.00 $950.00

AWW with Primary Employer AWW with Concurrent Employer aggregate AWW

1-16

INFORMATION FOR CALCULATION OF THE COMPENSATION RATE WEEKLY COMPENSATION RATE:  The Compensation Rate is based upon the Pennsylvania WORKERS' COMPENSATION RATE SCHEDULES 

Compare AWW to the SCHEDULE (page 1-21)



Generally, Claimant’s wage-loss benefits are equal to two-thirds of their weekly wage for a work-related injury.



However, there are minimum and maximum Compensation Rates, which are based on the Department of Labor and Industry's calculation of the statewide AWW.

CALCULATING THE WEEKLY COMPENSATION RATE: 

Generally- Weekly Compensation Rate is calculated by dividing the Claimant’s AWW by 2/3. For example:  DOI – 08/17/2013  AWW of $880.36 $880.36 AWW x 66.666% $586.91 Weekly Compensation Rate 

CR $586.91, which is 66 2/3% of the AWW, based upon RATE SCHEDULE below. 2013 _______________ Maximum: $917.00 01/01/13 _______________ $1,375.50 66 2/3% $687.76 _______________ $687.75 $458.50 $509.44 _______________ $509.43 or 90% Less _______________

TEMPORARY PARTIAL DISABILITY:

 How to Calculate TPD Benefits?  2/3 of the difference between Claimant’s AWW and present earnings. Example:

$880.36 AWW - $500.00 Present earnings $380.36 x 2/3 $253.57 TPD rate

LEGAL DISCLAIMER:

1-17

1-18

STATEMENT OF WAGES (FOR INJURIES OCCURRING ON OR AFTER JUNE 24, 1996)

DEPARTMENT OF LABOR & INDUSTRY BUREAU OF WORKERS’ COMPENSATION

DATE OF INJURY

EMPLOYEE SOCIAL SECURITY NUMBER OR WC ID NUMBER

EMPLOYEE

Name

Last name

Address

Date of birth

Address

City/Town

Address

County

YYYY

EMPLOYER

First name

City/Town

WCAIS CLAIM NUMBER

State

ZIP

State

Telephone

ZIP

FEIN

Telephone

INSURER or THIRD PARTY ADMINISTRATOR (if self-insured)

CONCURRENT EMPLOYMENT ONLY Check if

Name

Primary employer OR Concurrent employer

Address Address City/Town

State

ZIP

County Telephone

FEIN

Contact NAIC code

or Insurer code

Insurer/TPA claim #

INSTRUCTIONS The Statement of Wages must be clearly completed in accordance with the Pennsylvania Workers’ Compensation Act and uploaded in accordance with the provisions of the EDI Implementation guide when submitting certain EDI transactions. A copy must be sent to the injured employee. The ³average weekly wage´ is used to determine the amount of weekly compensation wage-loss bene¿ts payable under the Pennsylavania Workers’ Compensation Act. A chart is available from the Bureau of Workers’ Compensation to aid in determining the weekly compensation rate, online at www.dli.state.pa.us

CONCURRENT EMPLOYMENT If the employee had more than one employer at the time of injury, a separate Statement of Wages form must be completed for each employer. Submit these forms together. Using #8 on the Primary Employer’s form only (employer with whom the injury occurred): show the addition of the average weekly wages from all employers, show the combined average weekly wage to the right of the equal sign and show the appropriate workers’ compensation rate. Check the Primary employer box for the Primary employer and the Concurrent employer box for all other employers.

LIBC-494C REV 09-13 (Page 1)

1-19

Computation:

Compute the appropriate items below for the employee to determine the average weekly wage.

Wage

Weekly Federal Reported Gratuities

Weekly Board/ Lodging

If wages are ¿xed by the week:

Annual Bonus, Incentive or Vacation

Average Weekly Wage

2. If wages are ¿xed by the month:

x 12 ÷ 52 +

If wages are ¿xed by the year:

÷ 52

If paid in another manner, then complete the following for each of the last four consecutive periods of 13 calendar weeks preceding the injury.

From

Through

Wages

Federal Reported Gratuities

Board/Lodging

Period Weekly Wage

1st Period

· 13

2nd Period

· 13

3rd Period

· 13

4th Period

· 13

(Sum of three highest periods) Annual bonus, incentive and vacation $

÷ 52 = $

Sum of the highest three period weekly averages = $ 5.

=$ Average Weekly Wage

(Weekly bonus, etc)

÷3+$

(Weekly bonus, etc)

If the employee has not been employed by the employer for at least three consecutive periods of 13 calendar weeks in the 52 weeks preceding the injury, use #4 above and put in the wages for any completed periods(s) of 13 weeks immediately preceding the injury and average the total amounts ..............................................................................................................................

If the employee worked less than a complete period of 13 calendar weeks and does not have ¿xed weekly wages: hourly wage rate $ x the number of hours the employee was expected to work per week under the terms of employment =$ + weekly board/lodging of $ + weekly federal reported gratuities $ + (annual bonus, incentive or vacation pay ÷ 52) $ .....................................................................................

For seasonal occupations, the average weekly wage is one-¿ftieth of the total wages earned from all occupations during the 12 months immediately preceding the injury. Twelve months prior earnings $ ÷ 50 = $ + weekly board/lodging $ + weekly federal reported gratuities $ ................................................................

If the calculation in #7, or any other calculation above, does not fairly ascertain the earnings of the employee, the period of calculation is extended to give a fair calculation of their average weekly wage. Show this calculation here OR use the space below to show calculations for concurrent employment. =$ COMPENSATION PAYABLE PER WEEK:

Employer/Defendant Representative’s signature

Employer/Defendant Representative’s name (typed/printed)

Telephone

Any individual ¿ling misleading or incomplete information knowingly and with the intent to defraud is in violation of Section 1102 of the Pennsylvania Workers’ Compensation Act, 77 P.S. §1039.2, and may also be subject to criminal and civil penalties under 18 Pa. C.S.A. §4117 (relating to insurance fraud).

Employer Information Services 717.772.3702

Claims Information Services toll-free inside PA: 800.482.2383 local & outside PA: 717.772.4447

Hearing Impaired toll-free inside PA TTY: 800.362.4228 local & outside PA TTY: 717.772.4991

Auxiliary aids and services are available upon request to individuals with disabilities. Equal Opportunity Employer/Program LIBC-494C REV 09-13 (Page 2)

1-20

Email ra-li-bwc-helpline@pa.gov

*494C*

1-21

$1,278.00

$1,267.50

$476.66 or Less

$469.43

or Less

90%

$476.67

$422.50

$643.50

$633.75

$469.44

$643.51

$633.76

90%

$429.00

66 2/3%

Maximum: $858.00 01/01/11

Maximum: $845.00 01/01/10

66 2/3%

2011

2010

or Less

$493.32

$493.33

$666.00

$666.01

90%

$444.00

66 2/3%

$1,332.00

Maximum: $888.00 01/01/12

2012

or Less

$509.43

$509.44

$687.75

$687.76

90%

$458.50

66 2/3%

$1,375.50

Maximum: $917.00 01/01/13

2013

Average Weekly Wage Schedule

or Less

90%

66 2/3%

Maximum: $ 01/01/14

2014

1-22

COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF LABOR AND INDUSTRY BUREAU OF WORKERS’ COMPENSATION 1171 S. CAMERON STREET, ROOM 103 HARRISBURG, PA 17104-2501 (TOLL FREE) 800-482-2383 TTY (TOLL FREE) 800-362-4228

EMPLOYEE SOCIAL SECURITY NUMBER

EMPLOYER’S REPORT OF OCCUPATIONAL INJURY OR DISEASE

DATE OF INJURY

MONTH

DAY

YEAR

EMPLOYEE FIRST NAME

EMPLOYEE LAST NAME

STREET ADDRESS

CITY

STATE

ZIP CODE

COUNTY

PHONE NUMBER

EMPLOYEE: MALE

MARRIED

NUMBER OF DEPENDENTS

FEMALE

SINGLE

DATE OF BIRTH

MONTH

DAY

YEAR

OCCUPATION OR JOB TITLE

NCCI CLASS CODE (IF KNOWN)

EMPLOYMENT STATUS

FT = Full-time PT = Part-time

SL = Seasonal VO = Volunteer ZZ = Other

EMPLOYER

STREET ADDRESS

CITY

STATE

ZIP CODE

SIC CODE

EMPLOYER FEIN

PHONE NUMBER

COUNTY

NAICS CODE

FULL PAY FOR DAY OF INJURY?

TIME EMPLOYEE BEGAN WORK

YES NO LAST DAY WORKED

MONTH

DAY

YEAR

DATE EMPLOYER NOTIFIED

TIME OF OCCURRENCE

DATE DISABILITY BEGAN

MONTH

DAY

MONTH

DAY

YEAR

DATE RETURNED TO WORK

YEAR

MONTH

DATE OF HIRE

DAY

CONTACT FIRST NAME

YEAR

MONTH

DAY

YEAR

CONTACT PHONE NUMBER

CONTACT LAST NAME

NOTICE: Report should be clearly completed, (preferably typed) and original mailed to the Bureau at the address in the upper left corner and a copy to employee and insurer. LIBC-344 REV 1-01

(OVER)

1-23

LIBC 344 TYPE OF INJURY CODE

PART OF BODY AFFECTED CODE

CAUSE OF INJURY CODE (ENTER CODES, IF KNOWN)

TYPE OF INJURY OR ILLNESS

PARTS OF BODY AFFECTED

CAUSE OF INJURY

DID INJURY OR ILLNESS OCCUR ON EMPLOYER’S PREMISES?

IF OUT OF STATE, SPECIFY STATE OF INJURY

WERE SAFEGUARDS OR SAFETY EQUIPMENT PROVIDED?

WERE SAFEGUARDS OR SAFETY EQUIPMENT USED?

YES

ALL EQUIPMENT, MATERIALS, OR CHEMICALS EMPLOYEE WAS USING WHEN ACCIDENT OR ILLNESS EXPOSURE OCCURRED

HOW INJURY OR ILLNESS/ABNORMAL HEALTH CONDITION OCCURRED. DESCRIBE THE SEQUENCE OF EVENTS AND INCLUDE ANY OBJECTS OR SUBSTANCES DIRECTLY RESPONSIBLE.

INITIAL TREATMENT:

IF FATAL, GIVE DATE OF DEATH

MONTH

NO MEDICAL TREATMENT

DAY

MINOR BY EMPLOYEE

YEAR

CLINIC / HOSPITAL PHYSICIAN/HEALTH CARE PROVIDER

PANEL PHYSICIAN

FIRST NAME:

LAST NAME:

EMPLOYEE PHYSICIAN

STREET

EMERGENCY CARE

CITY

STATE

HOSPITALIZED MORE THAN 24 HOURS

ZIP

POLICY PERIOD FROM:

HOSPITAL NAME: MONTH

STREET CITY

STATE

DAY

YEAR

POLICY PERIOD TO:

ZIP

POLICY/SELF INSURED NUMBER:

MONTH

WITNESS FIRST NAME

DAY

YEAR

WITNESS PHONE NUMBER

WITNESS LAST NAME

PERSON COMPLETING THIS FORM:

INSURANCE CARRIER OR THIRD PARTY ADMINISTRATOR (IF SELF-INSURED)

NAME:

TITLE:

STREET

PHONE:

BUREAU CODE: DATE PREPARED

MONTH

DAY

YEAR

Any individual filing misleading or incomplete information knowingly and with intent to defraud is in violation of Section 1102 of the Pennsylvania Workers’ Compensation Act and may also be subject to criminal and civil penalties through Pennsylvania Act 165.

1-24

STATE

CITY FEIN:

ZIP

INFORMATION FOR IMPAIRMENT RATING EVALUATION STARTING LINE:  104 weeks: Claimant must first receive 104 weeks of Temporary Total Disability (TTD) benefits before you can compel an Impairment Rating Evaluation (IRE). 60-DAY WINDOW QUESTION: 

Are you within 60 days (“60-day window”) of the Claimant’s receipt of 104 weeks of TTD? If yes, go to Checklist A.

If No, go to Checklist B. CHECKLIST A: During the 60-day window you must complete all of the following actions, numbered 1 through 4;

1. File LIBC-766 form titled REQUEST FOR DESIGNATION OF A PHYSICIAN TO PERFORM AN IMPAIRMENT RATING EVALUATION. [The parties may agree on an IRE Physician; if so, go to #3 below.]; 2. Wait for the Bureau of Workers’ Compensation (BWC) to designate an IRE physician; 3. Schedule IRE and serve upon the Claimant LIBC- 765 form titled EVALUATION APPOINTMENT;

IMPAIRMENT RATING

and

4. Have the IRE performed; IRE DETERMINATION: 

Wait for IRE physician to issue LIBC-767 form titled IMPAIRMENT RATING DETERMINATION FACE SHEET.



If IRE determination is less than 50%, then;

File LIBC-764 form titled NOTICE OF CHANGE OF WORKERS’ COMPENSATION DISABILITY STATUS.

___________________________________________

CHECKLIST B: If you do not complete all of the actions above, numbered 1 through 4, during the 60-day window you still may obtain an IRE by completing all of the following steps; 1. File LIBC-766 form titled REQUEST FOR DESIGNATION OF A PHYSICIAN TO PERFORM AN IMPAIRMENT RATING EVALUATION. [The parties may agree on an IRE Physician; if so, go to #3 below.]; 2. Wait for the Bureau of Workers’ Compensation (BWC) to designate an IRE physician; 3. Schedule IRE and serve upon the Claimant LIBC- 765 form titled IMPAIRMENT RATING

EVALUATION APPOINTMENT;

and

4. Have the IRE performed. IRE DETERMINATION: 

Wait for IRE physician to issue LIBC-767 form titled IMPAIRMENT RATING DETERMINATION FACE SHEET.



If IRE determination is less than 50%, then; You must refer the file to an attorney to file a Modification Petition to request a Workers’ Compensation Judge to cap the TTD benefits at a maximum of an additional 500 weeks effective as of the date of the IRE evaluation.

LEGAL DISCLAIMER:

1-25

1-26

DEPARTMENT OF LABOR & INDUSTRY BUREAU OF WORKERS’ COMPENSATION

REQUEST FOR DESIGNATION OF A

PHYSICIAN TO PERFORM AN

IMPAIRMENT RATING EVALUATION

DATE OF INJURY

EMPLOYEE SOCIAL SECURITY NUMBER OR WC ID NUMBER

EMPLOYEE

WCAIS CLAIM NUMBER

YYYY

EMPLOYER

First name

Name

Last name

Address

Date of birth

Address

City/Town

Address

County

City/Town

State

ZIP

County

Telephone

State

ZIP

FEIN

INSURER or THIRD PARTY ADMINISTRATOR (if self-insured)

Telephone

Name

ATTORNEY FOR EMPLOYEE

Address

(if known)

Name

Address

Firm name

City/Town

Address

County

Address

Telephone

FEIN

NAIC code

or Insurer code

City/Town Telephone

State

ZIP

PA Attorney ID number

ATTORNEY FOR INSURER/EMPLOYER

(if known)

State

Insurer/TPA claim #

CLAIMS REPRESENTATIVE

Name

Firm name

Address

City/Town

State

Telephone

FEIN

City/Town Telephone

State

ZIP

PA Attorney ID number

SEE IMPORTANT INFORMATION ON THE REVERSE

LIBC-766 REV 09-13 (Page 1)

1-27

Description of compensable injury:

This is an Act 46 (firefighter cancer) claim The referenced Insurer/Employer requests the Bureau of Workers’ Compensation to select a physican for an Impairment Evaluation to be conducted with Section 306(a.2) of the Workers’ Compensation Act. Copies of this request have been served on all parties.

Date of this notice

Claims Representative’s signature

YYYY

Claims Representative’s name (typed/printed)

Telephone

Employer Information Services 717.772.3702

Claims Information Services toll-free inside PA: 800.482.2383 local & outside PA: 717.772.4447

Hearing Impaired toll-free inside PA TTY: 800.362.4228 local & outside PA TTY: 717.772.4991

Auxiliary aids and services are available upon request to individuals with disabilities.

Equal Opportunity Employer/Program

LIBC-766 REV 09-13 (Page 2)

1-28

Email ra-li-bwc-helpline@pa.gov

*766*

DEPARTMENT OF LABOR & INDUSTRY BUREAU OF WORKERS’ COMPENSATION

IMPAIRMENT RATING

EVALUATION APPOINTMENT

DATE OF INJURY

EMPLOYEE SOCIAL SECURITY NUMBER OR WC ID NUMBER

EMPLOYEE

WCAIS CLAIM NUMBER

YYYY

EMPLOYER

First name

Name

Last name

Address

Date of birth

Address

City/Town

Address

County

City/Town

State

ZIP

County

Telephone

State

ZIP

FEIN

INSURER or THIRD PARTY ADMINISTRATOR (if self-insured)

Telephone

Name

ATTORNEY FOR EMPLOYEE

Address

(if known)

Name

Address

Firm name

City/Town

Address

County

Address

Telephone

FEIN

NAIC code

or Insurer code

City/Town Telephone

State

ZIP

PA Attorney ID number

ATTORNEY FOR INSURER/EMPLOYER

(if known)

State

Insurer/TPA claim #

CLAIMS REPRESENTATIVE

Name

Firm name

Address

City/Town

State

Telephone

FEIN

City/Town Telephone

State

ZIP

PA Attorney ID number

SEE IMPORTANT INFORMATION ON THE REVERSE

LIBC-765 REV 09-13 (Page 1)

1-29

Important Notice: Section 306(a.2) of the Pennsylvania Workers’ Compensation Act provides that an insurer (employer) may request a workers’ compensation claimant, on total disability status, to attend a medical examination to determine the degree of their impairment due to the compensable injury. This examination should occur after the expiration of 104 weeks of total disability. The purpose of the examination is to determine the degree of impairment using the American Medical Association “Guides to the Evaluation of Permanent Impairment.” If this evaluation results in an impairment rating of less than 50 percent, your benefits status will change to “partial disability” which has a 500 week duration limit. The amount of wage loss compensation checks you are receiving is not affected by this change in status. If this evaluation is requested and scheduled within 60 days of the end of the 104 week period and results in a change to partial disability status, the effective date for that change is at the end of the 104 weeks. If the evaluation is initially scheduled more than 60 days after the end of the 104 weeks, any resulting change in status occurs on the date of the medical evaluation or as determined by the evaluating physician. Prior to your receiving this form, you or your attorney (if appropriate) may have been contacted regarding your agreement to the selection of an impairment rating physician. In the alternative, the Department of Labor & Industry may have been requested to assign an impairment rating physician. If you fail to attend the impairment rating evaluation, your workers’ compensation benefits may be suspended (stopped) through the decision of a Workers’ Compensation Judge.

You have received 104 weeks of total disability benefits as of

YYYY

You have been scheduled for a medical examination with Dr.

NAME

who is located at:

Please report to this office at

TIME

The doctor has been selected:

PM on MM

YYYY

through mutual agreement of parties by the Department of Labor & Industry, Bureau of Workers’ Compensation

Please be prompt in arriving for this examination. You will be advised by an official notice of the results of the evaluation. A copy of this impairment rating evaluation appointment is being provided to the employee and the employee’s attorney (if known).

Date filed

YYYY

Claims representative’s signature

Claims representative’s name (typed/printed)

Telephone

Employer Information Services 717.772.3702

Claims Information Services toll-free inside PA: 800.482.2383 local & outside PA: 717.772.4447

Hearing Impaired toll-free inside PA TTY: 800.362.4228 local & outside PA TTY: 717.772.4991

Auxiliary aids and services are available upon request to individuals with disabilities.

Equal Opportunity Employer/Program

LIBC-765 REV 09-13 (Page 2)

1-30

Email ra-li-bwc-helpline@pa.gov

*765*

DEPARTMENT OF LABOR & INDUSTRY BUREAU OF WORKERS’ COMPENSATION

IMPAIRMENT RATING

DETERMINATION FACE SHEET

DATE OF INJURY

EMPLOYEE SOCIAL SECURITY NUMBER OR WC ID NUMBER

EMPLOYEE

YYYY

EMPLOYER

First name

Name

Last name

Address

Date of birth

Address

City/Town

Address

County

City/Town

WCAIS CLAIM NUMBER

State

ZIP

County

Telephone

State

ZIP

FEIN

INSURER or THIRD PARTY ADMINISTRATOR (if self-insured)

Telephone

Name

ATTORNEY FOR EMPLOYEE (if known)

Address

Name

Address

Firm name

City/Town

Address

County

Address

Telephone

FEIN

NAIC code

or Insurer code

City/Town Telephone

State

ZIP

PA Attorney ID number

ATTORNEY FOR INSURER/EMPLOYER

(if known)

State

Insurer/TPA claim #

CLAIM REPRESENTATIVE

Name

Firm name

Address

City/Town

State

Telephone

FEIN

City/Town Telephone

State

ZIP

PA Attorney ID number

SEE IMPORTANT INFORMATION ON THE REVERSE

LIBC-767 REV 09-13 (Page 1)

1-31

I examined the referenced employee, , with regard to establishing an impairment rating determination to define the degree of impairment due to the compensable injury, if any, in accordance with the provision of Section 306(a.2) of the Pennsylvania Workers’ Compensation Act. Attached is the Report of Medical Evaluation prepared as utilized by the most recent edition of the American Medical Association Guides to the Evaluation of Permanent Impairment. The original of this face sheet and report is being provided to the Bureau of Workers’ Compensation, Healthcare Services Review Division, 1171 S. Cameron Street, Harrisburg, PA 17104-2501, with copies to the employee, the employee’s attorney (if known) and the insurer within 30 days of the date of the impairment evaluation. Name of patient: Social Security number: XXX-XXDate of birth: Date of this examination: Percentage of impairment rating: My charge of $ examination.

% will be billed to the Insurer or Third Party Administrator (if self-insured) for conducting this

I attest that I am a physician in the Commonwealth of Pennsylvania and certified by an American Board of Medical Specialities approved board or its osteopathic equivalent, and that I have an active clinical practice of at least twenty (20) hours per week. Physician Name Address Address City/Town

State

ZIP

Telephone Federal Tax ID number MC Provider #NPI# Specialty Contact

Date of this notice

Provider or Representative’s signature MM

YYYY

Provider or Representative’s name (typed/printed)

Telephone

Employer Information Services 717.772.3702

Claims Information Services toll-free inside PA: 800.482.2383 local & outside PA: 717.772.4447

Hearing Impaired toll-free inside PA TTY: 800.362.4228 local & outside PA TTY: 717.772.4991

Auxiliary aids and services are available upon request to individuals with disabilities.

Equal Opportunity Employer/Program

LIBC-767 REV 09-13 (Page 2)

1-32

Email ra-li-bwc-helpline@pa.gov

*767*

notice of change of workers’ compensation disability status

department of labor & industry bureau of workers’ compensation

DATE OF NOTICE

YYYY DATE OF INJURY

EMPLOYEE SOCIAL SECURITY NUMBER OR WC ID NUMBER

employee

WCAIS CLAIM NUMBER

YYYY

employer

First name

Name

Last name

Address

Date of birth

Address

City/Town

Address

County

City/Town

State

ZIP

County

Telephone

State

ZIP

FEIN

insurer or third party administrator (if self-insured)

Telephone

Name

attorney for employee

Address

(if known)

Name

Address

Firm name

City/Town

Address

County

Address

Telephone

FEIN

NAIC code

or Insurer code

City/Town Telephone

State

ZIP

PA Attorney ID number

attorney for insurer/employer

(if known)

State

Insurer/TPA claim #

claims representatiVe

Name

Firm name

Address

City/Town

State

Telephone

FEIN

City/Town Telephone

State

ZIP

PA Attorney ID number

see important information on the reVerse This notice should be clearly completed (preferably typed) and original mailed to the bureau at the address on the back of this sheet. A copy must be sent to the employee and the employee’s counsel (if known). (OVER) LIBC-764 REV 09-13 (Page 1)

1-33

As a result of an impairment rating evaluation (examination), your disability status has changed. A change in disability status does not affect the amount of money you receive in your workers’ compensation check. Partial disability status does, however, have a maximum period of 500 weeks of benefits. The specifics of this change are listed as follows: Claimant name: Social Security number:

Date of injury: MM

YYYY

Date you reached a total of 104 weeks of total disability: MM

Date initially established for the examination:

YYYY

Actual date of the rating examination:

YYYY

Impairment examining physician: Impairment rating percentage:

percent

This rating evaluation was conducted in accordance with Section 306(a.2) of the Pennsylvania Workers’ Compensation Act. The above referenced Impairment Rating percentage has been used by your insurance carrier/employer to change your workers’ compensation status from total disability to partial disability status.

The effective date of this status change is MM

. (This effective date will be recorded on your

YYYY

claim record 60 days following the date of this notice) -orThe result of this rating evaluation is that no change is occurring in your disability status. insurer/employer representatiVe First name Last name

Commonwealth of Pennsylvania Department of Labor & Industry Bureau of Workers’ Compensation 1171 S. Cameron Street, Room 103 Harrisburg, PA 17104-2501

Signature Address Address City/Town

State

ZIP

Telephone Bureau Code

employer information services 717.772.3702

claims information services toll-free inside PA: 800.482.2383 local & outside PA: 717.772.4447

hearing impaired toll-free inside PA TTY: 800.362.4228 local & outside PA TTY: 717.772.4991

Auxiliary aids and services are available upon request to individuals with disabilities.

Equal Opportunity Employer/Program

LIBC-764 REV 09-13 (Page 2)

1-34

email ra-li-bwc-helpline@pa.gov

*764*

REMEMBER: It is Important to Tell Your Employer about Your Injury

The name, address and telephone number of your employer’s workers’ compensation insurance company, third-party administrator (TPA), or person handling workers’ compensation claims for your company, are shown below. Employer Name:

Date Posted:

IF INSURED: (Complete all applicable spaces)

IF SOMEONE OTHER THAN INSURER IS HANDLING CLAIMS: (Complete all applicable spaces)

Name of Insurance Company:

Name of TPA (Claims administrator):

Address:

Telephone Number:

Insurer’s Bureau Code:

IF SELF-INSURED: (Complete all applicable spaces)

IF SOMEONE OTHER THAN SELF-INSURER IS HANDLING CLAIMS: (Complete all applicable spaces)

Name of person handling claims at

Name of TPA (Claims administrator):

the self-insured:

Address:

Telephone Number:

Self-Insured Bureau Code:

Department of Labor & Industry | Bureau of Workers’ Compensation | 1171 S. Cameron Street, Room 103 | Harrisburg, PA 17104-2501 717.772.0621 | www.dli.state.pa.us

LIBC-500 REV 5-09

Auxiliary aids and services are available upon request to individuals with disabilities. Equal Opportunity Employer/Program

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NOTIfICATION Of SUSPENSION

OR MODIfICATION PURSUANT

TO §§ 413 (c) & (d)

department of labor & industry bureau of workers’ compensation

DATE OF NOTIFICATION

YYYY DATE OF INJURY

EMPLOYEE SOCIAL SECURITY NUMBER OR WC ID NUMBER

EMPLOYEE

WCAIS CLAIM NUMBER

YYYY

EMPLOYER

First name

Name

Last name

Address

Date of birth

Address

City/Town

Address

County

City/Town

State

Telephone

ZIP

County

ZIP

FEIN

INSURER or THIRD PARTY ADMINISTRATOR

Telephone

(if self-insured)

Name Address

INSTRUCTIONS

Address

This form must be completed, notarized and either uploaded in WCAIS or mailed to the Bureau of Workers’ Compensation (BWC), 1171 South Cameron Street, Room 103, Harrisburg, PA 17104-2501. This form must be mailed to the employee and filed with BWC within seven days of a suspension or modification of benefits under the provisions of the Workers’ Compensation Act.

City/Town

State

ZIP

County Telephone

FEIN

NAIC code

or Insurer code

Insurer/TPA claim #

You are notified that because you returned to work on injury have been:

Suspended effective MM

time-of-injury earnings of $

, your weekly disability benefits for this YYYY

because you have returned to work at earnings equal to or greater than your YYYY

OR Modified to the rate of $ per week, effective to work at earnings less than your time-of-injury earnings.

because you returned YYYY

INSURER’S AffIDAVIT I attest or affirm that the statements contained herein are true and correct to the best of my knowledge, information and belief.

affix seal here

Claims representative’s signature SUBSCRIBED AND SWORN TO (OR AFFIRMED) BEFORE ME THIS Claims representative’s name Phone number

(typed/printed)

DAY OF

Signature of notary

NOTE TO EMPLOYEE: If you do not agree with this action and wish to challenge it, please read the instructions under EMPLOYEE CHALLENGE on the back of this form.

LIBC-751 REV 09-13 (Page 1)

1-37

Weekly wages must be computed in accordance with the Pennsylvania Workers’ Compensation Act. CALCULATION for partial compensation rate (to be completed for modification). The employee’s new partial compensation rate is based on the claimant’s present weekly earning and is calculated as follows:

Calculation:

Average weekly wage at time of injury

minus:

Present weekly earnings Subtotal

x 2/3 =

New partial compensation rate (Subject to the maximum benefit)

EMPLOYEE CHALLENGE: If you do not agree with this action, you must challenge it within (20) days of the date you receive this notice. Challenge it online at www.WCAIS.pa.gov. Choose file petition action, choose challenge and the claim number you want to challenge. In the alternative, you may challenge by checking the box below, signing this form and mailing it to the Pennsylvania Department of Labor & Industry, Workers’ Compensation Office of Adjudication (WCOA), 1010 N 7th Street, Suite 201, Harrisburg, PA 17102-1400. This material must be filed with the (WCOA) within (20) days from the date you received it. If you do not challenge this action within (20) days of the date you receive this notice, you will be deemed to have admitted that you agree with the action taken on this form. In that case, this notice will have the same binding effect as a fully executed Supplemental Agreement for the suspension or modification of benefits.

I do not agree with the action taken by my employer. I request a special supersedeas hearing (a hearing on whether my workers’ compensation benefits can be reduced or stopped) before a Workers’ Compensation Judge. A hearing is requested to be conducted in accordance with Sections 413 (c) & (d) of the Pennsylvania Workers’ Compensation Act. (if the employee has legal counsel, complete below.)

Attorney’s name

Employee’s signature

PA attorney ID#

Address

Name of firm

Address

City/Town

Address

County

City/Town

State

ZIP

State

ZIP

Telephone (Employee to complete if different from information provided by employer)

Telephone

Employer Information Services 717.772.3702

Claims Information Services toll-free inside PA: 800.482.2383 local & outside PA: 717.772.4447

Hearing Impaired toll-free inside PA TTY: 800.362.4228 local & outside PA TTY: 717.772.4991

Auxiliary aids and services are available upon request to individuals with disabilities.

Equal Opportunity Employer/Program

LIBC-751 REV 09-13 (Page 2)

1-38

Email ra-li-bwc-helpline@pa.gov

*751*

NOTIcE Of AbILITY

TO RETURN TO wORk

department of labor & industry bureau of workers’ compensation

DATE OF INJURY

EMPLOYEE SOCIAL SECURITY NUMBER OR WC ID NUMBER

EMPLOYEE

WCAIS CLAIM NUMBER

YYYY

EMPLOYER

First name

Name

Last name

Address

Date of birth

Address

City/Town

Address

County

City/Town

State

ZIP

Telephone

State

ZIP

FEIN

INSURER or THIRD PARTY ADMINISTRATOR (if self-insured)

County Telephone

Name Address Address City/Town

DATE OF NOTICE

ZIP

County

State

YYYY

Telephone

FEIN

NAIC code

or Insurer code

Insurer/TPA claim # Section 306(b)(3) of the Pennsylvania Workers’ Compensation Act requires insurers to notify the employee when they receive medical evidence indicating the ability to return to work in some capacity. Receipt of medical evidence indicates your present physical condition or change of condition is:

Attached are all documents supporting these allegations.

YOU SHOULD ALSO kNOw You have an obligation to look for available employment. Proof of available employment may jeopardize your right to receive ongoing benefits. You have the right to consult with an attorney in order to obtain evidence to challenge the insurer’s contributions.

Employer Information Services 717.772.3702

LIBC-757 REV 09-13

claims Information Services toll-free inside PA: 800.482.2383 local & outside PA: 717.772.4447

Hearing Impaired toll-free inside PA TTY: 800.362.4228 local & outside PA TTY: 717.772.4991

Auxiliary aids and services are available upon request to individuals with disabilities. Equal Opportunity Employer/Program

Email ra-li-bwc-helpline@pa.gov

*757* 1-39

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American LegalNet, Inc. www.USCourtForms.com

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American LegalNet, Inc. www.USCourtForms.com

NOTICE OF SUSPENSION FOR FAILURE TO RETURN FORM LIBC-760

COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF LABOR AND INDUSTRY BUREAU OF WORKERS' COMPENSATION 1171 S. CAMERON STREET, ROOM 103 HARRISBURG, PA 17104-2501 (TOLL FREE) 800-482-2383

(EMPLOYEE VERIFICATION OF EMPLOYMENT, SELF-EMPLOYMENT OR CHANGE IN PHYSICAL CONDITION)

Date of Injury:

PA BWC Claim Number:

YYYY (IF KNOWN)

Employer

Employee First Name

Social Security Number:

Name

Last Name

Street 1

Street 2

City/Town

State

County

Zip Code

City/Town

Telephone

State

Zip Code

County Telephone

FEIN

Insurer or Third Party Administrator (if self-insured) Name Street 1 Street 2 City/Town

762 1297-1

State

Zip Code

Telephone

Bureau Code

County

DATE OF THIS NOTICE:

Claim Number MM

FEIN

YYYY

Attorney for Employee (if known)

Attorney for Insurer/Employer (if known)

Name

Firm Name

Street 1

Street 2

City/Town

State

Zip Code

City/Town

Telephone

PA Attorney ID Number

Telephone

State

Zip Code

PA Attorney ID Number

Claim Representative First Name

Last Name

Signature Telephone

A COPY OF THIS FORM AND ATTACHMENTS ARE TO BE PROVIDED TO THE EMPLOYEE, THE EMPLOYEE'S ATTORNEY (IF KNOWN), AND THE ORIGINAL MUST BE MAILED TO PENNSYLVANIA DEPARTMENT OF LABOR AND INDUSTRY, BUREAU OF WORKERS' COMPENSATION, AT THE ADDRESS SHOWN ABOVE.

(OVER) LIBC-762

REV 12-97

American LegalNet, Inc. www.USCourtForms.com

1-43

LIBC-762

You are hereby notified that your workers' compensation benefits have been suspended as of

YYYY

due

to your failure to return the Employee Verification of Employment, Self-Employment or Change in Physical Condition form (LIBC-760) which was mailed to you on

YYYY

. This form was due for return to the sender within 30

calendar days of its receipt. Your failure to return the completed form within this time period entitles your insurer/employer to suspend your workers' compensation benefits under Section 311.1(g) of the Pennsylvania Workers' Compensation Act.

Your workers' compensation benefits will immediately begin again upon your insurer/employer's receipt of the verification form, but you will not receive reinstated benefits for the period of this suspension. In addition, failure to comply with the provisions of Section 311.1(d) may subject you to prosecution under the provisions of Article XI of the Pennsylvania Workers' Compensation Act relating to fraud.

If you did return the completed LIBC-760 within the prescribed time period, contact the forms sender (insurer/employer) immediately to clarify this matter.

Attached is another copy of the Employee Verification form to assure that you have the opportunity to complete and return it promptly to stop this suspension action.

You may challenge the suspension on legal grounds by filing a Petition for Reinstatement with the Pennsylvania Bureau of Workers' Compensation at the address listed on the front. Petitions can be obtained by calling the Bureau at 1-800-482-2383.

Any individual filing misleading or incomplete information knowingly and with intent to defraud is in violation of Section 1102 of the Pennsylvania Workers' Compensation Act and may also be subject to criminal and civil penalties through Pennsylvania Act 165 of 1994.

Attachment: Employee Verification Form LIBC-760

1-44

American LegalNet, Inc. www.USCourtForms.com

NOTICE OF REINSTATEMENT OF WORKERS' COMPENSATION BENEFITS

COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF LABOR AND INDUSTRY BUREAU OF WORKERS' COMPENSATION 1171 S. CAMERON STREET, ROOM 103 HARRISBURG, PA 17104-2501 (TOLL FREE) 800-482-2383

Employee

Date of Injury:

PA BWC Claim Number:

YYYY (IF KNOWN)

Employer Name

Last Name

First Name

Social Security Number:

Street 1

Street 2

City/Town

State

County

Zip Code

City/Town

State

Zip Code

County

Telephone

FEIN

Insurer or Third Party Administrator (if self-insured) Name Street 1 Street 2 City/Town

763 1297-1

State

Zip Code

Telephone

Bureau Code

County

DATE OF THIS NOTICE:

Claim Number MM

Attorney for Employee (if known)

Attorney for Insurer/Employer (if known)

Name

Firm Name

Street 1

Street 2

City/Town

State

Telephone

FEIN

YYYY

Zip Code

PA Attorney ID Number

A COPY OF THIS FORM IS TO BE PROVIDED TO THE EMPLOYEE, THE EMPLOYEE'S ATTORNEY (IF KNOWN), AND THE ORIGINAL MUST BE MAILED TO BUREAU OF WORKERS' COMPENSATION AT THE ADDRESS SHOWN ABOVE.

City/Town

State

Zip Code

PA Attorney ID Number

Telephone

Claim Representative First Name

Last Name

Signature Telephone

You are hereby notified that your workers' compensation benefits are reinstated as of

YYYY

, the date

your Employee Verification of Employment, Self-Employment or Change in Physical Condition (LIBC-760) was received, which indicated NO changes of employment, self-employment or change in physical condition. - OR -

You are hereby notified that your workers' compensation benefits are resumed as of

your completed LIBC-760 form was received. A benefit offset will occur as indicated on the attached Workers' Compensation Benefit Offset (LIBC-761).

YYYY

, the date

Notice of

REV 12-97

American LegalNet, Inc. www.USCourtForms.com

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1-46

Rev 4-30-98

COMMONWEALTH OF PENNSYLVANIA

DEPARTMENT OF LABOR AND INDUSTRY BUREAU OF WORKERS’ COMPENSATION 1171 South Cameron Street, Room 310 Harrisburg, PA 17104-2501

IMPAIRMENT RATING EVALUATION FORMS (LIBC-764, 765, 766 AND 767) REPRODUCTION INSTRUCTIONS IRE FORMS ON INTERNET: The IRE forms are available in soft copy on the Internet at www.li.state.pa.us/BWC/forms.html. You may access them and provide the file(s) to your printing company, or your printing company may access them directly. These files are provided for your convenience only. The software that you import these files into and/or other factors may determine the accuracy of the final product. If you have any questions regarding obtaining the soft copy of the form file(s) from the Internet, you may call the Bureau Helpline at the appropriate number listed below. IRE FORMS PREPARATION: The forms for submission to the Bureau may not be photocopied. Original documents must be used for the bar code to effectively process the form upon submission to the Bureau. Forms which are two sided (duplexed) may not be submitted to the Bureau as separate sheets. Duplexed forms must be submitted to the Bureau in exactly the format provided herein. BAR CODE AND PAPER: Height:.5 inch Width: 10 mil (Width is the width of the narrowest bar in thousands of an inch) Bar Code Standard: 3 of 9 (Also known as “Code 39” and “Code 3 from 9”) Placement: Must be as shown on the examples. Appearance: Bar Code must be crisp and distinct in order to be accurately read. Paper: Use 20 lb., non-glossy, bright white paper. FORMS TESTING: The Bureau encourages you to submit advance copies of your forms for testing to assure accuracy of the bar code and format. We have established a Post Office Box for you to send forms for testing. The address is: Bureau of Workers’ Compensation PO Box 15121 Harrisburg, PA 17105-5121 Please allow approximately two weeks for the testing process results to be mailed back to you. BUREAU HELPLINE TELEPHONE NUMBERS: Within Pennsylvania at 1-800-482-2383 Outside of Pennsylvania at 717-772-4447

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1-48

Rev 4-30-98

COMMONWEALTH OF PENNSYLVANIA

DEPARTMENT OF LABOR AND INDUSTRY BUREAU OF WORKERS’ COMPENSATION 1171 South Cameron Street, Room 310 Harrisburg, PA 17104-2501

NOTICE TO ALL INSURANCE CARRIERS, TPAs, AND SELF INSURED EMPLOYERS The Bureau is involved in a multi-year contract to automate and expedite as much of our business as possible in an effort to better serve the entire Workers’ Compensation community. In conjunction with this effort and the passage of Act 57, major changes to many of the existing forms and creation of several new forms are necessary. Among the new forms created are those relative to the Impairment Rating Evaluation (IRE) program as delineated in Section 306 (a.2)(I) of the Workers’ Compensation Act. The forms to be used in conjunction with the IRE program are: • Notice of Change in Workers’ Compensation Disability Status (LIBC-764) • Impairment Rating Evaluation Appointment (LIBC-765) • Request for Designation of a Physician to Perform an Impairment Rating Evaluation (LIBC-766) • Impairment Rating Determination Face Sheet (LIBC-767) Enclosed are two samples of each form: LIBC-764, LIBC-765, LIBC-766, and LIBC-767 and Reproduction Instructions. In accordance with Section 121.4 of the Rules and Regulations “Reproduction of Forms” reproductions will be in accordance with the guidelines that accompany the samples. It is important that the IRE program forms be reproduced in accordance with the attached samples with special attention to the bar code. The IRE form file(s) on soft copy are available at www.li.state.pa.us/BWC/forms.html to be downloaded and taken to your printer for replication. •

Notice of Change in Workers’ Compensation Disability Status (LIBC-764) The insurer shall complete Form (LIBC-764) “Notice of Change in Workers’ Compensation Disability Status” to adjust the status of the employe’s benefits from total to partial disability if the IRE results in an impairment rating of less than 50% whole body impairment. The insurer shall provide notice to the employe, employe’s counsel, if known, and the Bureau.

1-49

Page 2 Notice of IRE Forms •

Impairment Rating Evaluation Appointment (LIBC-765) The Impairment Rating Evaluation Appointment shall be used by the insurer to request the employe’s attendance at the IRE in writing. It shall specify date, time and location of the evaluation and the name of the physician performing the evaluation, as agreed by the parties or designated by the Bureau. The Appointment notices shall be provided to the employee, employe’s attorney, if known, and the IRE Physician.

•

Request for Designation of a Physician to Perform Impairment Rating Evaluation (LIBC766) The insurer is responsible for scheduling the initial IRE. Only the insurer may request that the Bureau designate an IRE physician. The Bureau’s duty to designate the IRE physician pertains only to the initial IRE. The request to designate a physician to perform an IRE shall be made on Form (LIBC-766) “Request for Designation of a Physician to Perform Impairment Rating Evaluation”. Within 20 days of receipt of the request, the Bureau will designate a physician to perform the IRE.

•

Impairment Rating Determination Face Sheet (LIBC-767) The physician performing the IRE shall complete form LIBC-767, “Impairment Rating Determination Face Sheet”, which sets forth the impairment rating of the compensable injury. The physician shall attach to the Face Sheet the “Report of Medical Evaluation” as specified in the AMA Guides. The Face Sheet and report shall be provided to the employee, employe’s counsel, if known, insurer and the Bureau, within 30 days from the date of the impairment evaluation.

Utilization and submission of the new IRE Forms will begin immediately. If you have any questions please contact the Bureau Helpline within Pennsylvania at 1-800-482-2383 and outside of Pennsylvania at 717-772-4447. Sincerely,

Richard A. Himler, Director Bureau of Workers’ Compensation enclosures

1-50

authorization for

alternative delivery of

compensation payments

department of labor & industry bureau of workersâ&#x20AC;&#x2122; compensation

DATE OF INJURY

EMPLOYEE SOCIAL SECURITY NUMBER OR WC ID NUMBER

employee

WCAIS CLAIM NUMBER

YYYY

employer

First name

Name

Last name

Address

Date of birth

Address

City/Town

Address

County

City/Town

State

ZIP

State

Telephone

County

ZIP

FEIN

insurer or third party administrator (if self-insured) Name

Telephone

Address Address City/Town DATE OF AUTHORIZATION

ZIP

County

State

Telephone

YYYY

FEIN

Contact NAIC code

or Insurer code

Insurer/TPA claim #

Claimant name (please print)

, hereby authorize and agree that the checks for the compensation payments due

to me shall be forwarded to me in the following designated manner: I will pick up my checks at (please check only one box):

employer office

insurer office

The employer/insurer will mail my checks to me at:

The employer/insurer will direct deposit my checks to the account at the financial institution supplied on the attached authorization for direct deposit. (Attach authorization for direct deposit provided by your financial institution.) Other:

LIBC-10 REV 09-13 (Page 1)

1-51

I understand that my employer/insurer is required to mail my compensation checks to my last known address and that I am not under any obligation to authorize the method of delivery outlined above.

Claimant’s signature

Claimant’s name (typed/printed)

Employer/Insurer representative’s signature

Employer/Insurer representative’s name (typed/printed)

employer information services 717.772.3702

claims information services toll-free inside PA: 800.482.2383 local & outside PA: 717.772.4447

hearing impaired toll-free inside PA TTY: 800.362.4228 local & outside PA TTY: 717.772.4991

Auxiliary aids and services are available upon request to individuals with disabilities.

Equal Opportunity Employer/Program

LIBC-10 REV 09-13 (Page 2)

1-52

email ra-li-bwc-helpline@pa.gov

*10*

COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF LABOR & INDUSTRY BUREAU OF WORKERS’ COMPENSATION 1171 S. CAMERON STREET, ROOM 103 HARRISBURG, PA 17104-2501 (TOLL FREE) 800-482-2383 TTY 800-362-4228

EMPLOYEE SOCIAL SECURITY NUMBER

FINAL STATEMENT OF ACCOUNT OF COMPENSATION PAID

DATE OF INJURY

MONTH DAY PA BWC CLAIM NUMBER (IF KNOWN)

EMPLOYEE

EMPLOYER

First Name

Name

Last Name

Address

City/Town

State

Zip

)

Zip

County Telephone (

State

YEAR

)

FEIN

INSURER or THIRD PARTY ADMINISTRATOR (if self insured) Name Address

NOTICE: A Final Statement of Account shall be filed after the final payment of compensation.

Address City/Town

State

Telephone (

)

Zip

Bureau Code

County Claim #

FEIN

This is to certify that the above named employer or insurer has paid compensation under the Pennsylvania Workers’ Compensation Act in the above case as follows: Rate

From Date

To Date

#Wks

#Days

Total

*Additional payment periods or remarks should be indicated on the reverse side of this form. Medical Payments

Indemnity Payments

Other Payments

TOTAL COMPENSATION PAID

LIBC-392A REV 9-08 (Page 1)

392A 0908

1-53

Remarks/Additional Information:

Name of Employer/Insurer Representative DATE

Signature of Employer/Insurer Representative

Month

Day

Year

392A 0908 Any individual filing misleading or incomplete information knowingly and with intent to defraud is in violation of Section 1102 of the Pennsylvania Workers’ Compensation Act, 77 P.S. §1039.2, and may also be subject to criminal and civil penalties under 18 Pa. C.S.A. §4117 (relating to insurance fraud). Auxiliary aids and services are available upon request to individuals with disabilities. Equal Opportunity Employer/Program

LIBC-392A REV 9-08 (Page 2)

1-54

AGREEMENT FOR COMPENSATION FOR DISABILITY OR PERMANENT INJURY

DEPARTMENT OF LABOR & INDUSTRY BUREAU OF WORKERS’ COMPENSATION

DATE OF INJURY

EMPLOYEE SOCIAL SECURITY NUMBER OR WC ID NUMBER

EMPLOYEE

WCAIS CLAIM NUMBER

YYYY

EMPLOYER

First name

Name

Last name

Address

Date of birth

Address

City/Town

Address

County

City/Town

State

ZIP

State

Telephone

County

ZIP

FEIN

INSURER or THIRD PARTY ADMINISTRATOR (if self-insured)

Telephone

Name Address

INJURY INFORMATION Part of body injured

Address

Nature of injury

City/Town

State

ZIP

County Telephone Accident/injury description narrative

FEIN

Contact NAIC code

or Insurer code

Insurer/TPA claim # Check if occupational disease

NOTICE: Agreement should be clearly completed, (preferably typed) and uploaded in accordance with the provisions of the EDI Implementation Guide. A copy must be sent to the employee. Wage information must be completed in accordance with the Pennsylvania Workers’ Compensation Act, and sent to the employee.

DATE DISABILITY BEGAN MM

YYYY

The employer shall pay the employee compensation at a rate of $ $

beginning MM

per week on an average weekly wage of

. YYYY

Date first check mailed . If the date exceeds the 21-Day Rule, check this box And explain under “further matters agreed upon” on reverse. Payment of medical and hospital expenses are subject to the limits of time and amount provided by the Pennsylvania Workers’ Compensation Act and subject to modification or termination with the Act. Compensation payable for

weeks

days for loss or loss of use of

under Section 306(c).

Compensation payable for

weeks

days for healing period for loss or loss of use of

Compensation payable for

weeks

days for disfigurement under Section 306(c). Please describe the disfigurement.

under Section 306(c).

LIBC-336 REV 09-13 (Page 1)

2-1

Further matters agreed upon:

We, the undersigned, agree upon the matters represented herein by the above named employee and the above named employer. Date of agreement

Employee’s signature MM

Claims Representative’s signature

YYYY

Claims Representative’s name (typed/printed) Telephone

Employer Information Services 717.772.3702

Claims Information Services toll-free inside PA: 800.482.2383 local & outside PA: 717.772.4447

Hearing Impaired toll-free inside PA TTY: 800.362.4228 local & outside PA TTY: 717.772.4991

Auxiliary aids and services are available upon request to individuals with disabilities. Equal Opportunity Employer/Program LIBC-336 REV 09-13 (Page 2)

2-2

Email ra-li-bwc-helpline@pa.gov

*336*

SUPPLEMENTAL AGREEMENT FOR

COMPENSATION FOR DISABILITY

OR PERMANENT INJURY

DEPARTMENT OF LABOR & INDUSTRY BUREAU OF WORKERS’ COMPENSATION

DATE OF INJURY

EMPLOYEE SOCIAL SECURITY NUMBER OR WC ID NUMBER

EMPLOYEE

WCAIS CLAIM NUMBER

YYYY

EMPLOYER

First name

Name

Last name

Address

Date of birth

Address

City/Town

Address

County

City/Town

State

ZIP

Telephone

County

State

ZIP

FEIN

INSURER or THIRD PARTY ADMINISTRATOR

Telephone

(if self-insured)

Name Address

INJURY INFORMATION Part of body injured

Address

Nature of injury

City/Town

State

ZIP

County Telephone Accident/injury description narrative

FEIN

Contact NAIC code

or Insurer code

Insurer/TPA claim # Check if occupational disease

NOTICE: Agreement should be clearly completed, (preferably typed) and uploaded in accordance with the provisions of the EDI Implementation Guide. A copy must be sent to the employee. Weekly wages must be completed in accordance with the Pennsylvania Workers’ Compensation Act. Whereas, the undersigned employer and employee hereby agree that the status of the employee’s disability changed on

as follows:

YYYY

Suspended, returned to work, no loss of wages

Termination

Modification

Recurred

Specific loss Said employer shall pay employee compensation at the rate of $

per week beginning on

YYYY

Compensation is payable for weeks days; or, if the future period of disability is uncertain, then to continue at said-rate until further changed by supplemental agreement, final receipt, or order of a Workers’ Compensation Judge, or the Workers’ Compensation Appeal Board.

LIBC-337 REV 09-13 (Page 1)

2-3

The employee’s new partial compensation is based on the employee’s present weekly earnings and is calculated as follows:

Calculation:

Average weekly wage at time of injury

Minus:

Present weekly earnings Subtotal

x 2/3=

New partial compensation rate (subject to the maximum benefit)

Further matters agreed upon (list any previously unreported periods of compensation and/or actions in chronological order, as well as additional information):

We, the undersigned, agree upon the matters represented herein by the above named employee and the above named employer. Date of agreement

Employee’s signature

Claims Representative’s signature

YYYY

Claims Representative’s name (typed/printed) Telephone

Employer Information Services 717.772.3702

Claims Information Services toll-free inside PA: 800.482.2383 local & outside PA: 717.772.4447

Hearing Impaired toll-free inside PA TTY: 800.362.4228 local & outside PA TTY: 717.772.4991

Auxiliary aids and services are available upon request to individuals with disabilities. Equal Opportunity Employer/Program LIBC-337 REV 09-13 (Page 2)

2-4

Email ra-li-bwc-helpline@pa.gov

*337*

AGREEMENT FOR COMPENSATION FOR DEATH

DEPARTMENT OF LABOR & INDUSTRY BUREAU OF WORKERS’ COMPENSATION

DATE OF INJURY

DECEASED’S SOCIAL SECURITY NUMBER OR WC ID NUMBER

DECEASED EMPLOYEE

Name

Last name

Address

YYYY

Address

Date of death

EMPLOYER

First name

Date of birth

WCAIS CLAIM NUMBER

YYYY

City/Town

State

ZIP

County

YYYY

DEPENDENT/GUARDIAN/PERSONAL REPRESENTATIVE

Telephone

FEIN

INSURER or THIRD PARTY ADMINISTRATOR (if self-insured)

First name

Name

Last name

Address

Address City/Town

State

County

Telephone

City/Town

ZIP

State

ZIP

County Telephone

INJURY INFORMATION

FEIN

Contact

Part of body injured

NAIC code

Nature of injury

or Insurer code

Insurer/TPA claim #

Accident/injury description narrative

Check if occupational disease

NOTICE: Agreement should be clearly completed, (preferably typed) and uploaded in accordance with the provisions of EDI Implementation Guide. A copy must be sent to the dependent/guardian/personal representative. Wage information must be completed in accordance with Section 309 of the Pennsylvania Workers’ Compensation Act, and sent to the Dependent/ Guardian/Personal Representative. We, the following persons, dependents of the aforementioned deceased employee, and the undersigned employer, agree upon the following matters which determine dependents’ rights to compensation and its amount and duration. Employer Representative’s signature NAME

LIBC-338 REV 09-13 (Page 1)

RESIDENCE

DATE OF BIRTH MM-DD-YYYY

RELATIONSHIP

2-5

Compensation was paid beginning MM

disability prior to death.

and ending YYYY

for the employee’s

YYYY

The compensation payable under the agreed facts, based on the average weekly wage of $

WEEKLY RATE

THROUGH

FROM

MM-DD-YYYY

#WEEKS/#DAYS

, is as follows:

REASON FOR CHANGE

AMOUNT

Amount expended for medical $

Amount expended for burial $

Further matters agreed upon:

Date of agreement

Dependent/Guardian/Personal Representative’s signature

Claims Representative’s name

Claims Representative’s signature

Telephone

YYYY

(typed/printed)

Employer Information Services 717.772.3702

Claims Information Services toll-free inside PA: 800.482.2383 local & outside PA: 717.772.4447

Hearing Impaired toll-free inside PA TTY: 800.362.4228 local & outside PA TTY: 717.772.4991

Auxiliary aids and services are available upon request to individuals with disabilities. Equal Opportunity Employer/Program LIBC-338 REV 09-13 (Page 2)

2-6

Email ra-li-bwc-helpline@pa.gov

*338*

DEPARTMENT OF LABOR & INDUSTRY BUREAU OF WORKERS’ COMPENSATION

SUPPLEMENTAL AGREEMENT FOR COMPENSATION FOR DEATH DATE OF INJURY

DECEASED’S SOCIAL SECURITY NUMBER OR WC ID NUMBER

DECEASED EMPLOYEE

Name

Last name

Address

YYYY

Address

Date of death

EMPLOYER

First name

Date of birth

WCAIS CLAIM NUMBER

YYYY

City/Town

State

ZIP

County

YYYY

DEPENDENT/GUARDIAN/PERSONAL REPRESENTATIVE

Telephone

FEIN

INSURER or THIRD PARTY ADMINISTRATOR (if self-insured)

First name

Name

Last name

Address

Address City/Town

State

County

Telephone

ZIP

City/Town

State

County Telephone

INJURY INFORMATION

ZIP

FEIN

Contact

Part of body injured

NAIC code

or Insurer code

Nature of injury

Insurer/TPA claim #

Accident/injury description narrative

Check if occupational disease

NOTICE: Agreement should be clearly completed, (preferably typed) and uploaded in accordance with the provisions of EDI Implementation Guide. A copy must be sent to the employee. Wage information must be completed in accordance with Section 309 of the Pennsylvania Workers’ Compensation Act, and sent to the Dependent/Guardian/Personal Representative. We, the following persons, dependents of the aforementioned deceased employee, and the undersigned employer, are parties to a compensation agreement or award which is changed because on

YYYY

the dependent, Died

Remarried

LIBC-339 REV 09-13 (Page 1)

A posthumous child was born

Other

2-7

It is now agreed that compensation shall be payable as follows:

WEEKLY RATE

THROUGH

FROM

MM-DD-YYYY

#WEEKS/#DAYS

REASON FOR CHANGE

AMOUNT

The above compensation shall be payable from

YYYY

to MM

. YYYY

Further matters agreed upon:

Date of this agreement

YYYY

Dependent/Guardian/Personal Representative’s signature

Claims Representative’s name

(typed/printed)

Claims Representative’s signature

Telephone

Employer Information Services 717.772.3702

Claims Information Services toll-free inside PA: 800.482.2383 local & outside PA: 717.772.4447

Hearing Impaired toll-free inside PA TTY: 800.362.4228 local & outside PA TTY: 717.772.4991

Auxiliary aids and services are available upon request to individuals with disabilities. Equal Opportunity Employer/Program LIBC-339 REV 09-13 (Page 2)

2-8

Email ra-li-bwc-helpline@pa.gov

*339*

AGREEMENT TO STOP

WEEKLY WORKERS’

COMPENSATION PAYMENTS

FINAL RECEIPT

DEPARTMENT OF LABOR & INDUSTRY BUREAU OF WORKERS’ COMPENSATION

DATE OF INJURY

EMPLOYEE SOCIAL SECURITY NUMBER OR WC ID NUMBER

EMPLOYEE

WCAIS CLAIM NUMBER

YYYY

EMPLOYER

First name

Name

Last name

Address

Date of birth

Address

City/Town

Address

County

City/Town

State

Telephone

ZIP

County

ZIP

FEIN

INSURER or THIRD PARTY ADMINISTRATOR

Telephone

(if self-insured)

Name Address

NOTICE TO EMPLOYEE

Address

Signing this form means your weekly workers’ compensation payments will stop. You may file a petition to reopen your claim within three years of the date to which payments were made.

City/Town

SIGN THIS FORM IF: Beginning and ending dates and total amount paid shown below are correct; AND you have fully recovered from your injury or disease.

Telephone

DO NOT SIGN THIS FORM IF: You have returned to work, but are earning less due to work related injury; OR your employer or the insurance company is withholding your last workers’ compensation check unless you sign this form.

State

ZIP

County FEIN

Contact NAIC code

or Insurer code

Insurer/TPA claim #

Notice: Agreement should be clearly completed (preferably typed) and uploaded in accordance with the provisions of the EDI Implementation Guide. A copy must be mailed to the employee. The employee received from the above named EMPLOYER/INSURER the sum of $ as final payment of compensation due under the Pennsylvania Workers’ Compensation Act for the injury or disease incurred in the above case. The total amount of compensation received, including the final payment above, is $ in disability benefits for wage loss covering a period of

weeks

days from the date my disability began on

able to return to work on MM

until the employee was YYYY

without loss of earning power due to the injury or disease incurred. YYYY

Notice: The employer/insurance company hereby agrees that no representations have been made to the employee other than those contained in this agreement and that this complies with the Workers’ Compensation Act and Rules and Regulations.

Employee’s signature

Employer/Claims Representative’s signature Employer/Claims Representative’s name

YYYY

Telephone

(typed/printed)

Employer Information Services 717.772.3702

Claims Information Services toll-free inside PA: 800.482.2383 local & outside PA: 717.772.4447

Hearing Impaired toll-free inside PA TTY: 800.362.4228 local & outside PA TTY: 717.772.4991

Auxiliary aids and services are available upon request to individuals with disabilities. Equal Opportunity Employer/Program LIBC-340 REV 09-13

Email ra-li-bwc-helpline@pa.gov

*340* 2-9

2-10

THIRD PARTY

SETTLEMENT AGREEMENT

DEPARTMENT OF LABOR & INDUSTRY BUREAU OF WORKERS’ COMPENSATION

DATE OF INJURY

EMPLOYEE SOCIAL SECURITY NUMBER OR WC ID NUMBER

EMPLOYEE

WCAIS CLAIM NUMBER

YYYY

EMPLOYER

First name

Name

Last name

Address

Date of birth If deceased - Dependent/Guardian/Personal Representative First name

Address

Last name

County

Address

Telephone

City/Town

State

ZIP

FEIN

INSURER or THIRD PARTY ADMINISTRATOR

Address City/Town

State

County

Telephone

ZIP

(if self-insured)

Name Address Address City/Town

NOTICE: Agreement should be clearly completed (preferably typed) and uploaded in accordance with the provisions of the EDI Implementation Guide. A copy must be sent to the employee.

State

ZIP

County Telephone

FEIN

Contact NAIC code

EMPLOYEE’S ATTORNEY

Insurer/TPA claim #

Name

INSURER’S ATTORNEY

Firm name

Name

Address

Firm name

Address

City/Town

or Insurer code

State

ZIP

Address

Telephone

City/Town

PA Attorney ID number

Telephone

State

ZIP

PA Attorney ID number

LIBC-380 REV 09-13 (Page 1)

2-11

CALCULATION INSTRUCTIONS #1 -#2 --

Enter the total amount of money received by the employee from the third-party litigation. Enter the total amount of indemnity and medical benefits paid by the employer to the employee at the time of third-party recover. Enter attorney fees and other expenses paid by the employee to obtain recovery in the third-party action. Perform the calculations in the right column and enter the results into the center column.

#3 -#4 to #8 --

In accordance with section 319 of the Pennsylvania Workers’ Compensation Act, the parties herein have agreed to the following distribution of proceeds received from , third party. BASIC RECOVERY INFORMATION — Complete this section for all third-party settlements. 1. 2.

Total amount of third-party recovery

Accrued workers’ compensation lien

a. indemnity benefits b. medical benefits 3.

Expenses of recovery

Balance of recovery

= #1 (minus) #2

PRESENT DISTRIBUTION OF PROCEEDS — Complete this section to calculate the amount of proceeds the employer is to receive as of (date through which accrued workers compensation lien [#2] calculated). 5.

Accrued lien expense reimbursement rate

= #2 (divided by) #1 x 100

Expenses attributable to accrued lien

= #3 (times) #5

Net lien (amount employer to receive)

= #2 (minus) #6

FUTURE DISTRIBUTION OF PROCEEDS — Complete this section to calculate how much the employer must reimburse the employee for expenses used to acquire the third party recovery on future compensation liability. Note: This section is to be completed only if the total amount of the third-party recovery (#1) is greater than the amount of the accrued workers’ compensation lien (#2). 8.

Reimbursement rate on future compensation liability

= #3 (divided by) #1 x 100

The employer/insurer is responsible for percent (#8) of any future weekly benefits and medical expenses to satisfy its obligation to reimburse its pro rata share of employee’s fees and expenses until the subrogation interest is exhausted; (#4). Thereafter, the employer/insurer is responsible for 100 percent of any compensation liability.

Further Matters Agreed Upon:

Date of this agreement

YYYY

Employer/Insurer Representative’s signature

Employee’s signature

Telephone

Employee’s Attorney signature

Employer/Insurer Representative’s Attorney’s signature

Employer Information Services 717.772.3702

Claims Information Services toll-free inside PA: 800.482.2383 local & outside PA: 717.772.4447

Hearing Impaired toll-free inside PA TTY: 800.362.4228 local & outside PA TTY: 717.772.4991

Auxiliary aids and services are available upon request to individuals with disabilities. Equal Opportunity Employer/Program LIBC-380 REV 09-13 (Page 2)

2-12

Email ra-li-bwc-helpline@pa.gov

*380*

Social Security Number:

COMMUTATION OF COMPENSATION

COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF LABOR AND INDUSTRY BUREAU OF WORKERS' COMPENSATION 1171 S. CAMERON STREET, ROOM 103 HARRISBURG, PA 17104-2501 (TOLL FREE) 800-482-2383

Employee

Date of Injury:

YYYY

PA BWC Claim Number:

(IF KNOWN)

Employer

First Name

Last Name

Name

Street 1

Street 2

Street 2 State

City/Town County

City/Town

Zip Code

Telephone

State

Zip Code

County Telephone

FEIN

Insurer or Third Party Administrator (if self-insured) Name Street 1 Street 2 City/Town

498 1297-1

State

Telephone

Zip Code Bureau Code

County Claim Number

FEIN

A copy of this notice of Commutation of Compensation is to be sent to the employee with full payment of compensation commuted, and the original filed with the Bureau. Pursuant to Section 412 of the Pennsylvania Workers' Compensation Act, future installments of compensation payable to the above employee not being in excess of 52 weeks, the employer/insurer indicated above hereby advises the above employee of its intent to immediately pay in one sum such future installments without discount. Compensation for this injury, Notice of Compensation Payable or Agreement for Compensation paid to date of this notice: Compensation due in future: $

, is presently payable under

NATURE OF INJURY

weeks weeks

weeks

days. days.

days @ $

per week for a total of

to be paid in one sum without discount.

DATE OF THIS NOTICE:

Employer

YYYY

Authorized Agent for Insurer or TPA (if self-insured)

First Name

Last Name

Signature

First Name

Last Name

Signature

REV 12-97

American LegalNet, Inc. www.USCourtForms.com

2-13

2-14

COMPROMISE AND RELEASE

AGREEMENT BY STIPULATION

PURSUANT TO SECTION 449 OF THE

WORKERS’ COMPENSATION ACT

department of labor & industry workers’ compensation office of adJudication

DATE OF INJURY

EMPLOYEE SOCIAL SECURITY NUMBER OR WC ID NUMBER

EMPLOYEE

YYYY

EMPLOYER

First name

Name

Last name

Address

Date of birth

Address

City/Town

Address

County

City/Town

WCAIS CLAIM NUMBER

State

Telephone

ZIP

County

ZIP

FEIN

INSURER, FUND or THIRD PARTY ADMINISTRATOR (if self-insured)

Telephone

Name Address

NOTICE: SUBMIT TO THE ASSIGNED WORKERS’ COMPENSATION JUDGE.

Address

TO THE EXTENT THIS AGREEMENT REFERENCES AN INJURY FOR WHICH LIABILITY HAS NOT BEEN RECOGNIZED BY AGREEMENT OR BY ADJUDICATION, THE TERM “INJURY” AS USED IN THIS AGREEMENT SHALL MEAN “ALLEGED INJURY.” “FUND” SHALL MEAN THE UNINSURED EMPLOYERS GUARANTY FUND (UEGF), SELF-INSURANCE FUND (SIF), SELF-INSURANCE GUARANTY FUND (SIGF) OR THE PREFUND ACCOUNT OF THE SELF-INSURANCE GUARANTY FUND.

City/Town

State

ZIP

County Telephone

FEIN

NAIC code

or Insurer code

Insurer/TPA claim #

This is an agreement in the case of the above listed employee and the above listed employer, insurer, Fund or third party administrator in regards to an injury or occupational disease.

State the date of injury or occupational disease. MM

YYYY

State the average weekly wage of the employee, as calculated under Section 309. $

State the weekly compensation rate paid or payable. $

State the precise nature of the injury and whether the disability is total or partial.

State the amount of benefits paid or due and unpaid to the employee or dependent up to the data of this agreement or death. Wage Loss: $

LIBC-755 REV 09-13 (Page 1)

Specific Loss: $

/wk

Medical: $

2-15

Is this Compromise and Release Agreement a resolution of wage loss benefits for the injury referenced in paragraphs 1 and 4? Yes No

Is this Compromise and Release Agreement a resolution of medical benefits for the injury referenced in paragraphs 1 and 4? Yes No

Is this Compromise and Release Agreement a resolution of specific loss benefits for the injury referenced in paragraphs 1 and 4? Yes No

Does this claim arise out of the death of an employee?

Yes

If yes, complete and attach a Death Claim Supplement. 10.

Summarize all wage loss, specific loss and medical benefits to be paid in conjunction with this Compromise and Release Agreement:

11.

Yes No Is there an actual or potential lien for subrogation under Section 319? If yes, state (if known) the total amount of compensation, including medicals, paid or payable, which would be allowed to the employer or insurer.

12.

Are there any current child or spousal support orders in place against the employee?

Yes

Verification pursuant to Special Rules of Administrative Practice and Procedure before Workersâ&#x20AC;&#x2122; Compensation Judges, Rule 131.111(c), must be attached. If yes, provide details:

13.

List all benefits received by, or available to the employee; e.g. Social Security (disability or retirement) private health insurance, Medicare, Medicaid, etc.

LIBC-755 REV 09-13 (Page 2)

2-16

14. This Compromise and Release Agreement addresses the interests of Medicare in accordance with the Medicare Secondary Payer Statue (42 U.S.C. Section 1395(y)): (a) Manner in which Medicareâ&#x20AC;&#x2122;s interests have been addressed:

(b) Amount allocated: $

15. Check as appriopriate: A vocational evaluation of the employee was completed in conjunction with this Compromise and Release Agreement on by A copy of this report must be attached.

. -OR-

A vocational evaluation of the employee has been waived by mutual agreement of the parties. 16.

State the issues involved in this claim and the reasons why the parties are entering into this agreement.

17. A copy of the fee agreement between employee and counsel must be attached. State the amount of the fee: $ . . 18. Litigation costs in the total amount of $

shall be the responsibility of

19. State additional terms and provisions, if any:

REMINDER TO PARTIES: Upon approval of the agreement, please promptly withdraw all appeals pending before the Workersâ&#x20AC;&#x2122; Compensation Appeal Board, Commonwealth Court, Pennsylvania Supreme Court, etc., which are also resolved by this agreement.

LIBC-755 REV 09-13 (Page 3)

2-17

EMPLOYEE’S CERTIFICATION

1. I certify that I have read this entire agreement, or to the best of my knowledge, information and belief (if applicable) this agreement has been read to me, and I understand all the contents of this agreement as well as the full legal significance and consequences of entering into this agreement. 2. I understand that, if this agreement is approved, I will receive only the benefits mentioned in this agreement, unless the agreement provides specifically for additional amounts. I understand that my employer, its insurance company or its administrator will never have to pay any other workers’ compensation benefits for the injury. 3. Except for the amounts of benefits listed in this agreement, I have been offered nothing of value to convince me to sign this agreement. 4. I have been represented by an attorney of my own choosing during this case. My attorney has explained to me the content of this agreement and its effects upon by rights. (Employee’s Initials) -ORI have not been represented by an attorney of my own choosing. However, I have been told that I have the right to be represented by an attorney of my own choosing in this proceeding. I have made my own decision not to have an attorney represent me. (Employee’s Initials) 5. Unless specifically stated in this agreement, I understand that this agreement is a compromise and release of a workers’ compensation claim, and is not considered an admission of liability by employer and/or insurer and/or administrator and/or fund. DO NOT SIGN THIS DOCUMENT UNLESS YOU UNDERSTAND THE FULL LEGAL SIGNIFICANCE OF THIS AGREEMENT All parties have read this agreement and agree to its contents. We understand that under this agreement, all petitions are resolved unless specifically agreed to herein. A list of any petitions or issues that remain open after approval of the Compromise and Release Agreement must be provided in this agreement. DATE

YYYY

Employee’s signature

Witness to employee’s signature

Employee’s counsel signature

Witness to employee’s signature

Fund/Employer/Insurer/Third Party Administrator’s signature Fund/Employer/Insurer/Third Party Administrator counsel’s signature

If not witnessed above, this agreement must be notarized as follows:

AFFIDAVIT/ACKNOWLEDGMENT: Before me, the undersigned notary public, in and for the aforesaid county and state, personally appeared who being first duly sworn, does depose and state that he/she knows (or has satisfactorily proven to be) the individual identified as the employee in the foregoing compromise and release agreement; and that he/she has executed the foregoing compromise and release agreement for the purposes stated herein:

Notary Public

THE COMPROMISE AND RELEASE AGREEMENT IS NOT VALID AND BINDING UNLESS APPROVED BY A WORKERS’ COMPENSATION JUDGE IN A DECISION. Any individual filing misleading or incomplete information knowingly and with the intent to defraud is in violation of Section 1102 of the Pennsylvania Workers’ Compensation Act, 77 P.S. §1039.2, and may also be subject to criminal and civil penalties under 18 Pa. C.S.A. §4117 (relating to insurance fraud).

Employer Information Services 717.772.3702

Claims Information Services toll-free inside PA: 800.482.2383 local & outside PA: 717.772.4447

Hearing Impaired toll-free inside PA TTY: 800.362.4228 local & outside PA TTY: 717.772.4991

Auxiliary aids and services are available upon request to individuals with disabilities.

Equal Opportunity Employer/Program

LIBC-755 REV 09-13 (Page 4)

2-18

Email ra-li-bwc-helpline@pa.gov

*755*

DEATH CLAIM SUPPLEMENT TO COMPROMISE AND RELEASE AGREEMENT

COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF LABOR & INDUSTRY BUREAU OF WORKERS’ COMPENSATION 1171 S. CAMERON STREET, ROOM 103 HARRISBURG, PA 17104-2501 (TOLL FREE) 800.482.2383 TTY 800.362.4228 www.dli.state.pa.us

Date of Injury:

PA BWC Claim Number:

YYYY

(IF KNOWN)

Employer

Employee First Name

Name

Last Name

Street 1

Street 2

Street 2 City/Town

State

County

Telephone

(

)

Zip Code

City/Town

Zip Code -

County Telephone (

TO THE PARTIES: THIS SUPPLEMENT MUST BE COMPLETED AND ATTACHED TO THE COMPROMISE AND RELEASE AGREEMENT FORM (LIBC 755) IN ALL CLAIMS ARISING OUT OF THE DEATH OF AN EMPLOYEE.

State

)

FEIN -

Insurer, Fund or Third Party Administrator (if self-insured) Name Street 1 Street 2 City/Town

State

County Telephone (

)

Zip Code

Bureau Code -

Insurer/TPA Claim Number

FEIN

This form must be used as of February 1, 2011. Prior versions of the form will no longer be accepted.

1. Date of death: ______/ ______/ _________ MM DD YYYY 2. Name and address of the widow or widower (include any maiden names, aliases and name upon remarriage, if applicable):

3. Names, addresses and dates of birth of all children:

LIBC-749 REV 02-11 (Page 1)

%QIVMGER 0IKEP2IX -RG www.FormsWorkFlow.com

2-19

4. If it is claimed that the dependency of any child continues beyond the age of eighteen (18) years,

5. Sta te the name, address and relatio nship to the employee of any other person claiming to be a dependent, (other than those individuals listed in items 2, 3 and 4 above) together with a brief summary of the factual basis for this claim.

6. Has a guardian been appointed for any child or dependent? If Yes, a copy of appointing Order must be attached.

Yes

All parties have read this agreement and agree to its contents.

Dated: ______ / ______ / ________

____________________________________________

_______________________________________________

____________________________________________

_______________________________________________

____________________________________________

YYYY

WITNESS TO WIDOW / WIDOWER / GUARDIAN SIGNATURE

WIDOW / WIDOWER / GUARDIAN SIGNATURE

WIDOW / WIDOWER / GUARDIAN COUNSEL SIGNATURE

FUND/EMPLOYER/INSURER/THIRD PARTY ADMINISTRATOR (SIGNATURE)

____________________________________________ FUND/EMPLOYER/INSURER/THIRD PARTY ADMINISTRATOR COUNSEL (SIGNATURE)

If not witnessed above, this agreement must be notarized as follows: AFFIDAVIT/ACKNOWLEDGMENT: Before me, the undersigned Notary Public, in and for the aforesaid County and State, personally appeared agreement; and that he/she has executed the foregoing compromise and release agreement for the purposes stated herein. _______________________________________ NOTARY PUBLIC

THE COMPROMISE AND RELEASE AGREEMENT IS NOT VALID AND BINDING UNLESS APPROVED BY A WORKERSâ&#x20AC;&#x2122; COMPENSATION JUDGE IN A DECISION.

Auxiliary aids and services are available upon request to individuals with disabilities. Equal Opportunity Employer/Program LIBC-749 REV 02-11 (Page 2)

2-20

%QIVMGER 0IKEP2IX -RG www.FormsWorkFlow.com

employee report of wages and physical condition

department of labor & industry bureau of workers’ compensation

DATE OF INJURY

EMPLOYEE SOCIAL SECURITY NUMBER OR WC ID NUMBER

employee

WCAIS CLAIM NUMBER

YYYY

employer

First name

Name

Last name

Address

Date of birth

Address

City/Town

Address

County

City/Town

State

ZIP

State

Telephone

ZIP

FEIN

insUrer or third party administrator (if self-insured)

County Telephone

Name Address

failUre to complete this form may sUBJect yoU to article Xi of the wc act relating to fraUd. yoU mUst complete and retUrn this form within 30 days of Beginning employment or self-employment

Address City/Town

State

ZIP

County Telephone

FEIN

NAIC code

or Insurer code

Insurer/TPA claim #

1. Are you now employed? 2. Are you now self-employed?

Yes

No Yes

3. Have you been employed or self-employed at any time while receiving workers’ compensation benefits? If you answered yes to one of the questions, please complete the following:

Yes

Occupation(s):

4. Has your physical condition (caused by your work injury) changed? If yes, attach medical report.

Yes

5. Is there any other information you are aware of that is relevant in determining your entitlement to, or amount of compensation? Yes

If yes, please explain:

(OVER) LIBC-750 REV 09-13 (Page 1)

3-1

6. Names of employers for whom you have worked since your date of injury: Name

Name

Address

City/Town

State

ZIP

Period of employment:

From MM

State

ZIP

Period of employment:

From

City/Town

YYYY

To YYYY

Amount of wages $

YYYY

Amount of wages $

if self-employed

Name Address

From

Address

City/Town

State

YYYY

ZIP

Period of employment: From

YYYY

Amount of wages $

YYYY

I verify that this information is true and correct based upon my knowledge, information and belief. I understand false statements are subject to the penalties of 18 Pa. C.S. §4904 relating to unsworn falsification to authorities. employee First name

DATE OF NOTICE

Last name

Signature

YYYY

Section 311.1(A) of the Workers’ Compensation Act requires employees who are receiving workers’ compensation, or who have filled a petition to receive workers’ compensation, to report earnings from employment or self-employment. You must complete and return this form to the sender within thirty (30) days of beginning such employment or self-employment.

employee is to retUrn this completed form to the insUrer or third party administrator shown on the front.

employer information services 717.772.3702

claims information services toll-free inside PA: 800.482.2383 local & outside PA: 717.772.4447

hearing impaired toll-free inside PA TTY: 800.362.4228 local & outside PA TTY: 717.772.4991

Auxiliary aids and services are available upon request to individuals with disabilities. Equal Opportunity Employer/Program LIBC-750 REV 09-13 (Page 2)

3-2

email ra-li-bwc-helpline@pa.gov

*750*

EMPLOYEE’S REPORT OF (unemployment compensation, social security [old age], severance and pension benefits)

department of labor & industry bureau of workers’ compensation

BENEFITS FOR OFFSETS DATE OF INJURY

EMPLOYEE SOCIAL SECURITY NUMBER OR WC ID NUMBER

EMPLOYEE

WCAIS CLAIM NUMBER

YYYY

EMPLOYER

First name

Name

Last name

Address

Date of birth

Address

City/Town

Address

County

City/Town

State

ZIP

State

Telephone

ZIP

FEIN

INSURER or THIRD PARTY ADMINISTRATOR (if self-insured)

County Telephone

Name Address

READ THE INSTRUCTIONS ON THE REVERSE SIDE BEFORE COMPLETING THIS FORM.

Address City/Town

State

ZIP

Section 204 of the Workers’ Compensation Act requires employees receiving wage-loss benefits to report the receipt of unemployment compensation, social security (old age) benefits, severance and pension benefits.

County Telephone

FEIN

COMPLETE AND RETURN THIS FORM TO THE INSURER OR SELF-INSURED EMPLOYER IDENTIFIED ON THIS FORM.

NAIC code

or Insurer code

Insurer/TPA claim #

Complete the following information, indicating the type, amount and frequency (i.e.: weekly, biweekly, or other [specify]) of the benefits being received. Include the date such receipt began and ended (if applicable). If you are not receiving a particular type of benefit, indicate by writing “not applicable” or “none” in the appropriate space. TYPE OF BENEFIT

AMOUNT RECEIVED

FREQUENCY

(MM/DD/YYYY)

Unemployment Compensation

Gross

Weekly

Net

Other

Social Security (old age)

Gross

Weekly

Net

Other

Gross

Weekly

Net

Other

Gross

Weekly

Net

Other

Severance

Pension

RECEIPT BEGAN DATE

RECEIPT ENDED DATE (MM/DD/YYYY)

Biweekly

If you are receiving pension benefits from the employer directly liable for your workers’ compensation, indicate the percent of the pension which is funded by the employer or check the box for ‘percentage unknown’. %

Percentage unknown

(OVER) LIBC-756 REV 09-13 (Page 1)

3-3

Did you “roll over” pension benefits into an IRA Account? Yes No Amount “rolled over” $ (IRA benefits are not offset until you begin withdrawing them from your account.)

I verify that this information is true and correct, based upon my knowledge, information and belief. I understand false statements are subject to the penalties of 18 Pa. C.S. §4909, relating to unsworn falsification to authorities. DATE

Employee signature

YYYY

If you are receiving any wages from employment or self-employment, check this box . You must report this to your insurer or self-insured employer. Contact your insurer/employer for that reporting form (LIBC-760).

INSTRUCTIONS

TO EMPLOYEES: If you are receiving workers’ compensation wage-loss benefits due to an injury which occurred on or after June 24, 1996, you must report the receipt of the following: •

Unemployment compensation benefits

•

Social Security (old age) benefits

•

Severance benefits paid by the employer directly liable for your workers’ compensation

•

Pension benefits to the extent funded by the employer directly liable for your workers’ compensation

Your workers’ compensation benefits may be adjusted if you are receiving any of the above benefits. You are required to acknowledge both the receipt of and changes to any of the benefits listed above through the immediate completion and submission of this form. FAILURE TO REPORT THE RECEIPT OF OR CHANGES TO ANY OF THE BENEFITS LISTED ABOVE MAY SUBJECT YOU TO PROSECUTION UNDER ARTICLE XI OF THE WORKERS’ COMPENSATION ACT RELATING TO INSURANCE FRAUD.

Employer Information Services 717.772.3702

Claims Information Services toll-free inside PA: 800.482.2383 local & outside PA: 717.772.4447

Hearing Impaired toll-free inside PA TTY: 800.362.4228 local & outside PA TTY: 717.772.4991

Auxiliary aids and services are available upon request to individuals with disabilities.

Equal Opportunity Employer/Program

LIBC-756 REV 09-13 (Page 2)

3-4

Email ra-li-bwc-helpline@pa.gov

*756*

EMPLOYEE VERIFICATION OF

EMPLOYMENT, SELF-EMPLOYMENT

OR CHANgE IN

PHYSICAL CONDITION

department of labor & industry department industry bureau of workers’ workers’ compensa compensation tion

DATE OF INJURY

EMPLOYEE SOCIAL SECURITY NUMBER OR WC ID NUMBER

EMPLOYEE

WCAIS CLAIM NUMBER

YYYY

EMPLOYER

First name

Name

Last name

Address

Date of birth

Address

City/Town

Address

County

City/Town

State

Telephone

ZIP

FEIN

INSURER or THIRD PARTY ADMINISTRATOR (if self-insured)

County Telephone

Name

INSTRUCTIONS TO EMPLOYEE:

Address

DO NOT RETURN THIS FORM TO THE BUREAU OF WORKERS’ COMPENSATION.

Address

COMPLETED FORM MUST BE RETURNED TO THE PARTY WHO SENT THE FORM TO YOU WITHIN 30 DAYS OF YOUR RECEIPT OF THIS FORM. IF YOU DO NOT COMPLETE AND RETURN THIS FORM TO THE PARTY WHO SENT IT TO YOU WITHIN 30 DAYS IT MAY RESULT IN A SUSPENSION OF YOUR COMPENSATION BENEFITS AS PROVIDED BY SECTION 311.1(g) OF THE WC ACT, AS WELL AS PROSECUTION FOR FRAUD UNDER ARTICLE XI OF THE WC ACT.

City/Town

State

ZIP

County

Telephone

FEIN

NAIC code

or Insurer code

Insurer/TPA claim #

YOU MAY BE REQUIRED TO COMPLETE AND RETURN THIS FORM EVERY SIX MONTHS. INSTRUCTIONS TO EMPLOYEE: Section 311.1(d) of the Workers’ Compensation Act requires employees who are receiving workers’ compensation, or have filed a petition to receive workers’ compensation, to verify employment, self-employment, wages and changes to physical condition. 1.

Are you currently employed by any employer other than the employer listed above?

Are you currently self-employed?

Have you been employed or self-employed at any time while receiving workers’ compensation benefits?

Has your physical condition (caused by your injury) changed?

Yes

5. Is there other information you are aware of that is relevant in determining your entitlement to, or amount of compensation? Yes

(OVER) LIBC-760 REV 09-13 (Page 1)

3-5

Names of employers for whom you have worked since your date of injury:

Name

Address

City/Town

State

ZIP

Period of employment:

From MM

State

ZIP

Period of employment:

From

City/Town

YYYY

To YYYY

Amount of wages $

YYYY

Amount of wages $

IF SELF-EMPLOYED

Name Address

From

Address

City/Town

State

YYYY

ZIP

Period of employment: From

YYYY

Amount of wages $

YYYY

DATE OF NOTICE

Last name

Signature

YYYY

Employer Information Services 717.772.3702

Claims Information Services toll-free inside PA: 800.482.2383 local & outside PA: 717.772.4447

Hearing Impaired toll-free inside PA TTY: 800.362.4228 local & outside PA TTY: 717.772.4991

Auxiliary aids and services are available upon request to individuals with disabilities. Equal Opportunity Employer/Program LIBC-760 REV 09-13 (Page 2)

3-6

Email ra-li-bwc-helpline@pa.gov

*760*

claim petition for

workers’ compensation

department of labor & industry workers’ compensation office of adJudication

DATE OF INJURY

EMPLOYEE SOCIAL SECURITY NUMBER OR WC ID NUMBER

emploYee

WCAIS CLAIM NUMBER

YYYY

emploYer

First name

Name

Last name

Address

Date of birth

Address

If deceased - Dependent/Guardian/Personal Representative

City/Town

First name

State

ZIP

County

Last name

Telephone

Address

FEIN

Vs. insUrer or tHirD partY aDministrator (if self-insured)

Address

Name

City/Town

State

County

Telephone

ZIP

Address Address City/Town

State

ZIP

County Telephone

FEIN

NAIC code

or Insurer code

Insurer/TPA claim #

Complete description of injury or illness including all parts of body affected. (If you are seeking additional compensation from the Subsequent Injury Fund for total disability as a result of a previous permanent loss, or loss of use of one hand, one arm, one foot, one leg or one eye, and a subsequent injury causing loss, or loss of use of, another hand, arm, foot, leg or eye, you must also submit from LIBC-375).

If occupational disease, give the last date of employment

with this employer. YYYY

Give date of injury or onset of disease MM

How did the injury or disease happen?

Did injury or disease occur on employer’s premises?

Notice of your injury or disease was served on your employer on

Yes

No Where?

What was your job title at the time of injury or disease?

Were you working for more than one employer at the time of your injury?

Did this problem cause you to stop working? Are you back to work with the same employer?

LIBC-362 REV 09-13 (Page 1)

(Be specific)

10.

YYYY

Yes

and/or last date of exposure

YYYY

Yes

No If yes,

If yes, list additional employers:

No If yes, give date MM

Yes

in the following manner:

Regular job

. YYYY

Other job/give title

4-1

11. Are you back to work with another employer?

Yes

No If yes, give name and address of new employer:

12. What were your wages at the time of injury? $

Hour

13. If you have returned to work since your injury or illness, are you earning

than you were at the time of injury? Current earnings $

Day

Week Same

Less

Day

Week

Hour

14. I am seeking payment for (check all that apply): Loss of wages

Partial disability from

Medical bills

Full disability from

YYYY

thru

thru YYYY

(date disability ends)

ongoing.

YYYY (date disability ends)

ongoing.

YYYY

(Attach additional sheet giving name of health care provider, address, type of treatment and amount of bill).

Counsel fees to be paid by the employer. Loss or loss of use of arm, hand, finger, leg, foot or toe.

Disfigurement (scars) of head, face or neck.

Loss of sight.

Loss of hearing.

Cancer as a firefighter under Act 46 of 2011. 15.

Other

16. Is there other pending litigation in this case?

Yes

No If yes, explain below:

PLEASE ENTER MY APPEARANCE FOR PETITIONER: Date of petition

Attorney’s name

PA Attorney ID number

YYYY

Firm name Address Address City/Town

State

ZIP

Telephone

Attorney’s signature notice: This petition must be filled out as fully as possible. If not filing electronically, the original must be sent to the Workers’ Compensation Office of Adjudication, 1010 N. Seventh St, Suite 202, Harrisburg, PA, 17102-1400. You must send a copy to all other parties, and on the attorneys of all other parties, if the attorneys are known. A Proof of Service must be attached. A Proof of Service is a signed statement signed by you verifying that you have sent a copy of the petition to all parties and their attorneys, if known. Questions regarding the completion of this form may be directed to the Bureau of Workers’ Compensation Claims Information Services. Any individual filing misleading or incomplete information knowingly and with the intent to defraud is in violation of Section 1102 of the Pennsylvania Workers’ Compensation Act, 77 P.S. §1039.2, and may also be subject to criminal and civil penalties under 18 Pa. C.S.A. §4117 (relating to insurance fraud).

employer information services 717.772.3702

claims information services toll-free inside PA: 800.482.2383 local & outside PA: 717.772.4447

Hearing impaired toll-free inside PA TTY: 800.362.4228 local & outside PA TTY: 717.772.4991

Auxiliary aids and services are available upon request to individuals with disabilities. Equal Opportunity Employer/Program LIBC-362 REV 09-13 (Page 2)

4-2

email ra-li-bwc-helpline@pa.gov

*362*

FATAL CLAIM PETITION FOR COMPENSATION BY DEPENDENTS OF DECEASED EMPLOYEES

DEPARTMENT OF LABOR & INDUSTRY WORKERSâ&#x20AC;&#x2122; COMPENSATION OFFICE OF ADJUDICATION

DATE OF INJURY

EMPLOYEE SOCIAL SECURITY NUMBER OR WC ID NUMBER

EMPLOYEE

YYYY

EMPLOYER

First name

Name

Last name

Address

Date of birth Date of death If deceased - Dependent/Guardian/Personal Representative First name

Address City/Town

State

ZIP

County

Last name

Telephone

Address

FEIN

INSURER or THIRD PARTY ADMINISTRATOR

Address City/Town

State

County

Telephone

U.S. Citizen

WCAIS CLAIM NUMBER

Yes

(if self-insured)

Name

ZIP

Address Address

City/Town

INJURY INFORMATION

State

ZIP

County

Description of injury or illness

Telephone

FEIN

Contact NAIC code

or Insurer code

Insurer/TPA claim # Check if occupational disease

Business of employer

Time of injury (hour)

The cause of death was

The deceased employee incurred the following medical bills (give name of health care provider, address, type of treatment and bill in space below) related to the fatality.

Expenses for the burial amounted to $

a.m.

p.m. as given by

GIVE NAME AND ADDRESSES. IF NONE, SO STATE.

Amount paid by employer $

The wages of deceased employee at the time of accident were $

Notice of injury and/or death was given to employer on

in the following manner 8.

LIBC-363 REV 09-13 (Page 1)

hour

day

week

by NAME OF PERSON REPORTING INJURY/DEATH

YYYY

STATE WHEN AND TO WHOM NOTICE WAS GIVEN AND IN WHAT MANNER

Compensation for disability was paid to the deceased from Total amount paid was $

to YYYY

YYYY

4-3

Dependents are as follows:

NAME

DATE OF BIRTH

ADDRESS

10.

Their dependency is

total

11.

Petitioner

was not

12.

The petitioner

was is

is not

MM-DD-YYYY

RELATIONSHIP

US CITIZEN Yes

Yes

partial living with the deceased employee at the time of his or her death. a widow/widower of the deceased employee.

If petitioner is a widow or widower, state where ceremony was performed and give date of marriage.

Was marriage a common law marriage?

13.

This is an Act 46 (firefighter cancer) claim

14.

Other

15.

Is there other pending litigation in this case

Yes

If yes, explain below.

PLEASE ENTER MY APPEARANCE FOR PETITIONER: Attorney’s name PA Attorney ID number Firm name Address Address City/Town Telephone

Date of petition

State

ZIP

YYYY

Attorney’s signature

Dependent/Guardian/Personal Representative’s signature

Dependent/Guardian/Personal Representative’s name (typed/printed)

Notice: This petition must be filled out as fully as possible. The original must be sent to the Workers’ Compensation Office of Adjudication, 1010 N. Seventh St, Suite 202, Harrisburg, PA, 17102-1400. You must serve a copy on all other parties, and on the attorneys of all other parties, if the attorneys are known. A Proof of Service must be attached. A Proof of Service is a signed statement signed by you verifying that you have sent a copy of the petition to all parties and their attorneys, if known. Questions regarding the completion of this form may be directed to the Bureau of Workers’ Compensation Claims Information Services.

Employer Information Services 717.772.3702

Claims Information Services toll-free inside PA: 800.482.2383 local & outside PA: 717.772.4447

Hearing Impaired toll-free inside PA TTY: 800.362.4228 local & outside PA TTY: 717.772.4991

Auxiliary aids and services are available upon request to individuals with disabilities. Equal Opportunity Employer/Program LIBC-363 REV 09-13 (Page 2)

4-4

Email ra-li-bwc-helpline@pa.gov

*363*

PETITION FOR JOINDER OF

ADDITIONAL DEFENDANT

DEPARTMENT OF LABOR & INDUSTRY WORKERS’ COMPENSATION OFFICE OF ADJUDICATION

DATE OF INJURY

EMPLOYEE SOCIAL SECURITY NUMBER OR WC ID NUMBER

EMPLOYEE

WCAIS CLAIM NUMBER

YYYY

EMPLOYER

First name

Name

Last name

Address

Date of birth If deceased - Dependent/Guardian/Personal Representative First name

Address

Last name

County

Address

Telephone

City/Town

State

ZIP

FEIN

VS. INSURER, FUND or THIRD PARTY ADMINISTRATOR (if self-insured)

Address City/Town

State

Name

ZIP

County

Address

Telephone

Address City/Town

“ FUND” SHALL MEAN THE UNINSURED EMPLOYERS GUARANTY FUND, SUBSEQUENT INJURY FUND, SELF-INSURANCE GUARANTY FUND OR PRE-SELF-INSURANCE GUARANTY FUND.

State

ZIP

County Telephone

FEIN

NAIC code

or Insurer code

Insurer/TPA claim #

Employee

Employer hereby petitions for joinder in connection with the pending

Additional Employer

Attorney

Additional Insurer

Name

Address

Firm name

Address

City/Town

State

ZIP

City/Town

State

petition(s):

ZIP

Address City/Town

State

County

Telephone

FEIN

Telephone

FEIN

NAIC code

or Insurer code

PA Attorney ID number

Additional Employer

Attorney

Additional Insurer

Name

Address

Firm name

Address

City/Town

State

ZIP

City/Town

State

ZIP

(if known)

Address City/Town

County

Telephone

FEIN

Telephone

FEIN

NAIC code

or Insurer code

PA Attorney ID number

LIBC-376 REV 09-13 (Page 1)

(if known)

State

ZIP

4-5

Additional Employer

Attorney

Additional Insurer

Name

Address

Firm name

Address

City/Town

State

ZIP

City/Town

State

ZIP

Address City/Town

State

County

Telephone

FEIN

Telephone

FEIN

NAIC code

or Insurer code

PA Attorney ID number

Counsel for Employee Attorney’s name PA Attorney ID number Firm name Address Address City/Town Telephone

State

ZIP

(if known)

Counsel for Employer/Insurer (if known) Attorney’s name PA Attorney ID number Firm name Address Address City/Town State Telephone

ZIP

Date filed

Petitioner or Representative’s signature

YYYY

Petitioner or Representative’s name (typed/printed) Notice: This petition must be filled out as fully as possible. The original must be sent to the Workers’ Compensation Office of Adjudication, 1010 N. Seventh St, Suite 202, Harrisburg, PA, 17102-1400. You must serve a copy on all other parties, and on the attorneys of all other parties, if the attorneys are known. A Proof of Service must be attached. A Proof of Service is a signed statement signed by you verifying that you have sent a copy of the petition to all parties and their attorneys, if know. Questions regarding the completion of this form may be directed to the Bureau of Workers’ Compensation Claims Information Services.

Joinder is requested for the following reasons:

If not filing electronically, Attached are:

Claim and/or other petitions

The names/addresses of all parties and their counsel

All answers filed

A statement of all hearings held or scheduled and depositions taken with dates and locations

All exhibits

Employer Information Services 717.772.3702

LIBC-376 REV 09-13 (Page 2)

4-6

Claims Information Services toll-free inside PA: 800.482.2383 local & outside PA: 717.772.4447

Hearing Impaired toll-free inside PA TTY: 800.362.4228 local & outside PA TTY: 717.772.4991

Auxiliary aids and services are available upon request to individuals with disabilities. Equal Opportunity Employer/Program

Email ra-li-bwc-helpline@pa.gov

*376*

PETITION TO/FOR:

(Check any that apply)

DEPARTMENT OF LABOR & INDUSTRY WORKERS’ COMPENSATION OFFICE OF ADJUDICATION

DATE OF INJURY

EMPLOYEE SOCIAL SECURITY NUMBER OR WC ID NUMBER

WCAIS CLAIM NUMBER

YYYY

Modify compensation benefits

Seek approval of a compromise and release agreement

(Reduce/increase amount of workers’ compensation)

(Ask judge to approve settlement)

Penalties (For violation of the act, rules and regulations) Reinstate compensation benefits Review compensation benefits Review compensation benefits offset Review medical treatment and/or billing

Set aside final receipt (Ask judge to set aside agreement to stop compensation)

Suspend compensation benefits Terminate compensation: Based upon physician’s affidavit,

a special supersedeas hearing to be scheduled Terminate compensation benefits (Employee fully recovered without any disability)

This petition is filed on behalf of:

Employee

Employer/Insurer

EMPLOYEE

EMPLOYER

First name

Name

Last name

Address

Date of birth

If deceased - Dependent/Guardian/Personal Representative

First name

Address

Last name

City/Town

State

County Telephone

Address

ZIP

FEIN

VS. INSURER, FUND or THIRD PARTY ADMINISTRATOR (if self-insured)

Address City/Town

State

County

Telephone

ZIP

INJURY INFORMATION Provide the following information if Employer has accepted liability for this injury: Part of body injured Nature of injury

Name Address Address City/Town

State

ZIP

County Telephone

FEIN

NAIC code

or Insurer code

Insurer/TPA claim # Accident/injury description narrative

“FUND” SHALL MEAN THE UNINSURED EMPLOYERS GUARANTY FUND, SUBSEQUENT INJURY FUND, SELF-INSURANCE GUARANTY FUND OR PRE-SELF-INSURANCE GUARANTY FUND. Check if occupational disease TO YOUR HONORABLE JUDGE: The above petitioner requests the workers’ compensation judge to order the above action as of for the following reason(s). 1. 2. 3. 4. 5. 6. 7. 8. 9.

Full recovery Specific job offered Work generally available Able to return to unrestricted work Has returned to work Reasonable treatment refused Resolution to specific loss Incorrect description of injury Incorrect average weekly wage

LIBC-378 REV 09-13 (Page 1)

10. 11. 12. 13. 14. 15. 16. 17.

YYYY

Medical bills unpaid Medical bills not related Worsening of condition Injury causing decreased earning power Section 314 order violated Voluntary withdrawal from workforce Violation of the act, rules and regulations Subrogation, credit or offset for UC Social Security Third party recovery S&A Pension

4-7

18.

Other

Compensation benefits being paid

have been paid based on a:

Notice of compensation payable dated

Supplemental agreement dated

Court order dated

YYYY

Board order dated YYYY

YYYY

Agreement dated

Judge’s order dated

YYYY

This is an Act 46 (firefighter cancer) claim Is supersedeas being requested pursuant to Section 413(A.2)? If yes, list reasons:

Yes

Average weekly wage $

Applicable weekly total disability rate $

Date of most recent payment MM

Amount $ YYYY

PLEASE ENTER MY APPEARANCE FOR PETITIONER:

COUNSEL FOR RESPONDENT (if known):

Attorney’s name PA attorney ID number Firm name Address Address City/Town Telephone

State

ZIP

State

ZIP

Date of petition

Petitioner or Representative’s signature MM

YYYY

Petitioner or Representative’s name (typed/printed) Notice: This petition must be filled out as fully as possible. If not filing electronically, the original must be sent to the Workers’ Compensation Office of Adjudication, 1010 N. Seventh St, Suite 202, Harrisburg, PA, 17102-1400. You must send a copy to all other parties, and to the attorneys of all other parties, if the attorneys are known. A proof-of-service must be attached. A proof-of-service is a signed statement signed by you verifying that you have sent a copy of the petition to all parties and their attorneys, if known. Questions regarding the completion of this form may be directed to Bureau of Workers’ Compensation Claims Information Services.

Employer Information Services 717.772.3702

Claims Information Services toll-free inside PA: 800.482.2383 local & outside PA: 717.772.4447

Hearing Impaired toll-free inside PA TTY: 800.362.4228 local & outside PA TTY: 717.772.4991

Auxiliary aids and services are available upon request to individuals with disabilities.

Equal Opportunity Employer/Program

LIBC-378 REV 09-13 (Page 2)

4-8

Email ra-li-bwc-helpline@pa.gov

*378*

COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF LABOR & INDUSTRY BUREAU OF WORKERS’ COMPENSATION 1171 S. CAMERON STREET, ROOM 103 HARRISBURG, PA 17104-2501

NOTICE TO EMPLOYEE Please read the attached Petition carefully. It could have an impact on your right to receive workers’

Auxiliary aids and services are available upon request to individuals with disabilities. Equal Opportunity Employer/Program LIBC-758 REV 02-11

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4-12

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4-13

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4-14

DEPARTMENT OF LABOR & INDUSTRY WORKERS’ COMPENSATION OFFICE OF ADJUDICATION

OCCUPATIONAL DISEASE CLAIM PETITION MONTHLY COMPENSATION FOR DISABILITY UNDER SECTION 301(i) ONLY

EMPLOYEE First name Last name

Commonwealth of Pennsylvania Department of Labor & Industry c/o Office of Chief Counsel 1171 South Cameron Street Harrisburg, PA 17104-2501

Date of birth Address

Address City/Town

State

ZIP

County Telephone

INJURY INFORMATION Part of body injured Nature of injury

Accident/injury description narrative

Check if occupational disease

My last date of employment or self-employment in any occupation was MM

I became totally disabled on

Coal Workers’ Pneumoconiosis 3.

YYYY

Silicosis

. YYYY

as a result of:

Anthraco-Silicosis

Asbestosis

My total disability is a result of employment in a hazardous occupation having a: Coal hazard

Asbestos hazard

Silica hazard

I was employed in the Commonwealth of Pennsylvania at least two years preceding the above date of the disability, as follows: (List all employment in the hazardous occupation.)

NAME OF EMPLOYER IN PENNSYLVANIA

ADDRESS

DATES OF EMPLOYMENT FROM

MM-DD-YYYY

LIBC-396 REV 09-13 (Page 1)

MM-DD-YYYY

4-15

5. If you have filed a claim previously under the Occupational Disease Act or the Workers’ Compensation Act, complete the following:

(a) Date of filing MM

(b) Claim petition:

Pending

YYYY

Dismissed

Withdrawn

have

have not filed for benefits under the Federal Health and Coal Mine Safety Act of 1969.

Therefore, I hereby petition the Department of Labor & Industry to award monthly compensation to me at the rate set forth under the provisions of Section 301 (i) of the 1939 Occupational Disease Act, as amended.

PLEASE ENTER MY APPEARANCE FOR PETITIONER: Attorney’s name PA Attorney ID number Firm name Address Address City/Town State Telephone

Date of petition

YYYY

ZIP

Attorney’s signature

Notice: This petition must be filled out as fully as possible. If not filing electronically, the original must be sent to the Workers’ Compensation Office of Adjudication, 1010 N. Seventh St, Suite 202, Harrisburg PA, 17102-1400. You must serve a copy to all other parties, and on the attorneys of all other parties, if the attorneys are known. Questions regarding the completion of this form may be directed to the Bureau of Workers’ Compensation Claims Information Services.

INSTRUCTIONS TO CLAIMANT Failure to comply with these instructions will necessitate the return of your petition. Employee must sign this document. Attach two recent photographs. Place your signature and last four digits of Social Security Number on the reverse side of each photograph.

Employer Information Services 717.772.3702

Claims Information Services toll-free inside PA: 800.482.2383 local & outside PA: 717.772.4447

Hearing Impaired toll-free inside PA TTY: 800.362.4228 local & outside PA TTY: 717.772.4991

Auxiliary aids and services are available upon request to individuals with disabilities. Equal Opportunity Employer/Program LIBC-396 REV 09-13 (Page 2)

4-16

Email ra-li-bwc-helpline@pa.gov

*396*

petition for physical examination or expert interview of employee (section 314)

department of labor & industry workers’ compensation office of adjudication

DATE OF INJURY

EMPLOYEE SOCIAL SECURITY NUMBER OR WC ID NUMBER

employee

WCAIS CLAIM NUMBER

YYYY

employer

First name

Name

Last name

Address

Date of birth

Address

City/Town

Address

County

City/Town

State

ZIP

State

Telephone

ZIP

FEIN

vs. insUrer or thirD party aDministrator (if self-insured)

County Telephone

Name

inJUry information

Address

Provide the following information if Employer has accepted liability for this injury: Part of body injured

Address City/Town

Nature of injury

State

ZIP

County

Accident/injury description narrative

Telephone

FEIN

NAIC code

or Insurer code

Insurer/TPA claim # Check if occupational disease

NOTICE TO EMPLOYEE: Employer must indicate whether “physical examination” or “expert interview” is required by checking the appropriate boxes. Employee’s answer must be filed with the Workers’ Compensation Judge within twenty (20) days. 1. The insurer/employer alleges that it requested the employee to submit to a by

physical examination

expert interview ,

HEALTH CARE PROVIDER’S/EXPERTS NAME AND ADDRESS AND FIELD OF SPECIALTY OR EXPERTISE

for the purposes of

to appear at such examaination or interview. 2. The date of last

on IME/IRE/EXPERT INTERVIEW

, and the employee refused or failed YYYY

physical examination of the employee by the health care provider chosen by the insurer/employer or

expert interview of the employee by the expert chosen by the insurer/employer was on

3. If the petition is for the purpose of an IRE, the date of the request was on

YYYY

4. Where, the insurer/employer petitions the workers’ compensation Judge to order the employee to submit to

a physical examination

an expert interview by

HEALTH CARE PROVIDER’S/EXPERTS NAME

or by such health care

provider(s)/expert(s) as may be designated by the Workers’ Compensation Judge at such time and place as may be set and determined

IME/IRE/EXPERT INTERVIEW

Identify documents previously filed with the Bureau of Workers’ Compensation: -

Notice of Compensation Payable dated MM

Supplemental Agreement dated MM

Other

Petition YYYY

dated

YYYY

dated MM

YYYY

5. This is an Act 46 (firefighter cancer) claim LIBC-499 REV 09-13 (Page 1)

4-17

claimant MUST BE serveD please enter my appearance for petitioner

coUnsel for responDent

Attorney’s name

PA Attorney ID number

Firm name

Address

City/Town

State

ZIP

City/Town

(if known)

State

ZIP

Telephone

Date of petition

Petitioner or representative’s signature MM

Petitioner or representative’s name

YYYY

(typed/printed)

NOTE: This petition must be filled out as fully as possible. If not filing electronically, the original must be sent

to the Workers’ Compensation Office of Adjudication, 1010 N 7th Street, Suite 202, Harrisburg, PA, 17102-1400.

You must send a copy to all other parties, and to the attorneys of all other parties, if the attorneys are known.

A proof of service must be attached. A proof of service is a signed statement signed by you verifying that you

have sent a copy of the petition to all parties and their attorneys, if known. Questions regarding the completion

of this form may be directed to Bureau of Workers’ Compensation Claims Information Services.

Employer Information Services 717.772.3702

Claims Information Services toll-free inside PA: 800.482.2383 local & outside PA: 717.772.4447

Hearing Impaired toll-free inside PA TTY: 800.362.4228 local & outside PA TTY: 717.772.4991

Auxiliary aids and services are available upon request to individuals with disabilities. Equal Opportunity Employer/Program LIBC-499 REV 09-13 (Page 2)

4-18

Email ra-li-bwc-helpline@pa.gov

*499*

APPLICATION FOR SUPERSEDEAS FUND REIMBURSEMENT

COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF LABOR AND INDUSTRY BUREAU OF WORKERS’ COMPENSATION 1171 S. CAMERON STREET, ROOM 103 HARRISBURG, PA 17104-2501 (TOLL FREE) 800-482-2383 TTY 800-362-4228

Social Security Number: ____ - ___ - ______ Date of Injury: ______/______/____________ MM

YYYY

PA BWC Claim Number: _________________ (IF

This application is filed on behalf of:

Insurer

KNOWN)

Self-Insured Employer

Employee

Employer

First Name

Last Name

Name

_________________________________

_____________________________________________

_________________________________________________________________________________ Street 1 _________________________________________________________________________________ Street 2 _________________________________________________________________________________ City/Town

State

Zip Code

________________________________________________ _________ ____________-_________ County

FEIN

____________________________________________

_____________________

Telephone

SEE INSTRUCTIONS ON REVERSE

(_______)_______-____________________________

Insurer or Third Party Administrator (if self-insured) Name _________________________________________________________________________________ Street 1 _________________________________________________________________________________ Street 2

662 0707

_________________________________________________________________________________ City/Town

State

Zip Code

________________________________________________ _________ ____________-_________ County

FEIN

____________________________________________

_____________________

Telephone (_______)_______-____________________________ Claim Number ____________________________________________

TO THE DEPARTMENT OF LABOR AND INDUSTRY, BUREAU OF WORKERS’ COMPENSATION: As insurer/self-insurer in the above case, we herewith request reimbursement of compensation paid to claimant pursuant to Section 443 of the Pennsylvania Workers’ Compensation Act. IN SUPPORT OF THE ABOVE REQUEST, WE OFFER THE FOLLOWING FACTS: Request for supersedeas was filed on _______/_______/____________ MM

YYYY

for

_______/_______/____________ MM

termination

YYYY

modification

in connection with

appeal filed on

suspension of compensation as of _______/_______/__________. MM

granted on Insurer’s/self-insurer’s request for supersedeas was

petition or

denied on

YYYY

_______/_______/____________ MM

YYYY

_______/_______/____________ MM

YYYY

not acted on (and therefore deemed denied) as a result of which insurer/self-insurer continued payment of compensation from outcome of the proceedings on

_______/_______/____________ MM

YYYY

_______/_______/___________ MM

YYYY

until the final

, at which time it was determined that such compensation was

not, in fact, payable. Is there a potential or existing third-party action?

Yes

No If yes, list docket number ____________(if known).

Insurer/self-insurer verifies that the underlying case is not on appeal, that the appeal period has expired, and there is no other litigation pending which would affect Supersedeas Fund Reimbursement. Insurer/self-insurer affirmatively states that the decision issued by ___________________________________________________________ dated LIBC-662 REV 7-07 (Page 1)

(OVER)

_______/_______/____________ MM

YYYY

is final. American LegalNet, Inc. www.FormsWorkflow.com

4-19

INSURER/SELF-INSURER, THEREFORE, REQUESTS REIMBURSEMENT OF ITS OVERPAYMENT OF COMPENSATION AS FOLLOWS: Compensation attributable to, and subsequently paid for, _______ weeks and ________ days from to

_______/_______/____________ MM

YYYY

_______/_______/__________ MM

YYYY

inclusive at $___________.____ per week for TOTAL OF $ ___________.____. During the above

time period, medical expenses were incurred, and subsequently paid, for a TOTAL OF $____________.____. Proof of payment of the above averments are attached hereto. The following unusual payment circumstances, if any, are:_______________________________________________________________________________________________________ ___________________________________________________________________________________________________________ Other matters alleged: ______________________________________________________________________________________ ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ Submitter VERIFICATION Name and Title I UNDERSTAND THAT FALSE STATEMENTS HEREIN ARE MADE SUBJECT TO THE PENALTIES OF 18 PA. C.S. §4904 RELATING TO UNSWORN FALSIFICATION TO AUTHORITIES.

_________________________________________________________________________________ Phone Number _________________________________________________________________________________ Signature _________________________________________________________________________________ Attorney for/Representative of _________________________________________________________________________________

INSTRUCTIONS All requests for reimbursement from the Supersedeas Fund pursuant to Article IV, Section 443, of the Pennsylvania Workers’ Compensation Act (Act) must be by application on Form LIBC-662, Application for Supersedeas Fund Reimbursement. The Application must be fully completed, including all dates requested. Applicants must verify that the parties have not filed an appeal, and that the decision is final. Any information that supports the Application, including underlying petitions and decisions, must be attached to the Application. Any information relating to a potential or existing third-party recovery (including but not limited to the third party settlement agreement), compromise and release agreement, or other matter which may affect this application, must also be attached. The claimant’s social security number, BWC Claim Number (if known) and name must be included on each attached page. Applicant also must file proof of payment, which must be attached to the Application. Proof of payment should be in the form of copies of canceled checks or computer printouts of payment records. Also, proof of payment must include dates of service for indemnity and medical expenses incurred and payee names. Failure to fully complete the Application or to attach the required supporting documentation and proof of payment will result in the Application being returned without processing. An Application may be assigned to a Workers’ Compensation Judge for a hearing and determination of eligibility for reimbursement pursuant to the Act. Any individual filing misleading or incomplete information knowingly and with intent to defraud is in violation of Section 1102 of the Pennsylvania Workers’ Compensation Act and may also be subject to criminal and civil penalties through Pennsylvania Act 165 of 1994. Auxiliary aids and services are available upon request to individuals with disabilities. Equal Opportunity Employer/Program LIBC-662 REV 7-07 (Page 2)

4-20

American LegalNet, Inc. www.FormsWorkflow.com

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4-21

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4-22

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CLAIM PETITION FOR BENEFITS FROM THE UNINSURED EMPLOYER AND THE UNINSURED EMPLOYERS GUARANTY FUND

DEPARTMENT OF LABOR & INDUSTRY WORKERS’ COMPENSATION OFFICE OF ADJUDICATION

DATE OF INJURY

EMPLOYEE SOCIAL SECURITY NUMBER OR WC ID NUMBER

EMPLOYEE

WCAIS CLAIM NUMBER

YYYY

EMPLOYER

First name

Name

Last name

Address

Date of birth If Deceased - Dependent/Guardian/Personal Representative First name

Address City/Town

Last name

State

ZIP

County Telephone

Address

FEIN

AND

Address City/Town

State

Pennsylvania Uninsured Employers Guaranty Fund PO Box 1774 Harrisburg, PA 17105-1774

ZIP

County Telephone

Employee should file this petition if they are seeking an award against their employer and the Uninsured Employers Guaranty Fund because their employer did not maintain workers’ compensation insurance coverage and was not approved as a self-insurer at the time of the alleged injury. Note: You may not file this petition until 21 days after you filed a Notice of Claim Against Uninsured Employer, From LIBC-551. 1.

Have you filed a Notice of Claim Against the Uninsured Employer, Form LIBC-551?

Complete description of injury or illness including all parts of body affected. If fatality, provide cause of death.

If occupational disease, give the last date of employment

last date of exposure MM

Yes

and/or

YYYY

Give date of injury or onset of disease MM

YYYY

How did the injury or disease occur?

Did injury or disease occur on employer’s premises?

Notice of your injury or disease was served on your employer on

Yes

Where? (Be specific)

What was your job title at the time of injury or disease?

Were you working for more than one employer at the time of the injury?

10.

Did this problem cause you to stop working?

Yes

in the following manner: YYYY

11.

Are you back to work with the same employer?

12.

Are you working with another employer?

Yes

Yes No

If yes,

If yes, list additional employers:

If yes, give date. MM

LIBC-550 REV 09-13 (Page 1)

Regular job

YYYY

Other job/give title

If yes, give name and address of new employer:

4-23

13.

What were your weekly wages at the time of injury? $

14.

Dependents are as follows:

NAME

15.

16.

. DATE OF BIRTH

ADDRESS

RELATIONSHIP

MM-DD-YYYY

If you have returned to work since your injury or illness, are you earning

than you were at the time of injury? Current weekly wages $

Same

US CITIZEN Yes

Yes

Less

I am seeking payment for (check all that apply): Loss of Wages Partial disability from

Full disability from MM

YYYY

to YYYY

YYYY

Medical bills (give name of doctor/hospital, address, type of treatment and bill in space below.) Counsel fees to be paid by the employer. (Note: The Fund is not subject to unreasonable contest attorney fees.) Loss or loss of use of arm, hand, finger, leg, foot or toe. Disfigurement (scars) of head, face or neck.

Injury or disease resulting in death. Date of death. MM

Loss of sight

YYYY

Loss of hearing Cancer as a firefighter under Act 46 of 2011 17.

Have you filed any other Workers’ Compensation Petition(s) related to this injury/fatality? If yes, PA BWC Claim Number (if known) .

Yes

Date of petition

PLEASE ENTER MY APPEARANCE FOR PETITIONER: Attorney’s name PA attorney ID number Firm name Address Address City/Town State Telephone

YYYY

A copy of this petition has been sent to the employer and the Fund. ZIP Signature Employee or Dependent

Attorney

Notice: This petition must be filled out as fully as possible. If not filling electronically, the original must be sent to the Workers’ Compensation Office of Adjudication, 1010 N. Seventh St, Suite 202 Harrisburg PA 17102-1400. You must send a copy of this petition to the employer and Guaranty Fund, PO Box 1774, Harrisburg, PA 17105-1774. Questions regarding the completion of this form ma be directed to Bureau of Workers’ Compensation Claims Information Services. Any individual filing misleading or incomplete information knowingly and with the intent to defraud is in violation of Section 1102 of the Pennsylvania Workers’ Compensation Act, 77 P.S. §1039.2, and may also be subject to criminal and civil penalties under 18 Pa. C.S.A. §4117 (relating to insurance fraud).

Employer Information Services 717.772.3702

Claims Information Services toll-free inside PA: 800.482.2383 local & outside PA: 717.772.4447

Hearing Impaired toll-free inside PA TTY: 800.362.4228 local & outside PA TTY: 717.772.4991

Auxiliary aids and services are available upon request to individuals with disabilities. Equal Opportunity Employer/Program LIBC-550 REV 09-13 (Page 2)

4-24

Email ra-li-bwc-helpline@pa.gov

*550*

CLAIM PETITION FOR ADDITIONAL

COMPENSATION FROM THE SUBSEQUENT

INJURY FUND PURSUANT TO SECTION 306.1

OF THE WORKERS’ COMPENSATION ACT

DEPARTMENT OF LABOR & INDUSTRY WORKERS’ COMPENSATION OFFICE OF ADJUDICATION

DATE OF INJURY

EMPLOYEE SOCIAL SECURITY NUMBER OR WC ID NUMBER

EMPLOYEE

WCAIS CLAIM NUMBER

YYYY

EMPLOYER

First name

Name

Last name

Address

Date of birth If deceased - Dependent/Guardian/Personal Representative First name

Address

Last name

County

Address

Telephone

City/Town

State

ZIP

FEIN

VS. INSURER or THIRD PARTY ADMINISTRATOR

Address City/Town

State

(if self-insured)

Name

ZIP

County

Address

Telephone

Address City/Town

INJURY INFORMATION

State

ZIP

Part of body injured

County

Nature of injury

Telephone

FEIN

NAIC code

or Insurer code

Insurer/TPA claim # Accident/injury description narrative

AND Commonwealth of Pennsylvania

Department of Labor & Industry

c/o Office of Chief Counsel 1171 South Cameron St Harrisburg, PA 17104-2501

Check if occupational disease

An employee seeking additional compensation from the Subsequent Injury fund should file this petition if the employee has previously incurred (through injury or otherwise) permanent partial disability, through the loss, or loss of use of, one hand, one arm, one foot, one leg or one eye, and incurs total disability through a subsequent injury, causing loss, or loss of use of, another hand, arm, foot, leg or eye. 1. Date of first (prior) loss or loss of use of, one hand, arm, foot, leg or eye, resulting in permanent partial disability.

YYYY

2. Complete description of first (prior) loss or loss of use. a. Was this loss or loss of use work-related?

Yes

If Yes, name and address of employer:

3. Date of second (subsequent) loss, or loss of use of another hand, arm, foot, leg or eye, resulting in total disability.

LIBC-375 REV 09-13 (Page 1)

YYYY

4-25

4. Complete description of second (subsequent) loss or loss of use injury. Yes No If yes, name and address of employer: a. Was this loss of use injury work-related?

5. Is there pending workers’ compensation litigation or a previous Workers’ Compensation Judge’s decision regarding the second No (subsequent) loss or loss or use injury? Yes a. If yes, when was the claim petition filed?

YYYY

b. If a Workers’ Compensation Judge’s decision was rendered, what was the circulation date of the decision?

YYYY

c. Was there an award of benefits for a specific loss or loss of use? Yes No i. If yes, how many weeks of benefits were awarded? ii. On what date did the specific loss award commence?

6. What were your wages at the time of the second (subsequent) injury? $

YYYY

Hour

7. If you have returned to work since the second (subsequent) injury, are you earning than you were at the time of the injury? Current earnings $ .

More Hour

Day Same Day

or Week Less or Week

8. Are you entitled to receive any other benefits by reason of your increased disability, either from any state or federal fund or Yes No If yes, please list. agency?

PLEASE ENTER MY APPEARANCE FOR PETITIONER: Attorney’s name PA Attorney ID number Firm name Address Address City/Town Telephone

Date of petition

State

YYYY

ZIP

Attorney’s signature

Employer Information Services 717.772.3702

Claims Information Services toll-free inside PA: 800.482.2383 local & outside PA: 717.772.4447

Hearing Impaired toll-free inside PA TTY: 800.362.4228 local & outside PA TTY: 717.772.4991

Auxiliary aids and services are available upon request to individuals with disabilities.

Equal Opportunity Employer/Program

LIBC-375 REV 09-13 (Page 2)

4-26

Email ra-li-bwc-helpline@pa.gov

*375*

DEPARTMENT OF LABOR & INDUSTRY WORKERS’ COMPENSATION OFFICE OF ADJUDICATION

DEFENDANT’S ANSWER TO CLAIM PETITION UNDER PENNSYLVANIA OCCUPATIONAL DISEASE ACT DATE OF INJURY

EMPLOYEE SOCIAL SECURITY NUMBER OR WC ID NUMBER

EMPLOYEE

WCAIS CLAIM NUMBER

YYYY

EMPLOYER

First name

Name

Last name

Address

Date of birth Date of death If deceased - Dependent/Guardian/Personal Representative First name

Address City/Town

State

ZIP

County

Last name

Telephone

Address

FEIN

VS. INSURER, FUND or THIRD PARTY ADMINISTRATOR (if self-insured)

Address City/Town

State

County

Telephone

ZIP

INJURY INFORMATION Provide the following information if Employer has accepted liability for this injury: Part of body injured Nature of injury

Name Address Address City/Town

State

County Telephone

FEIN

Contact NAIC code

Accident/injury description narrative

ZIP

or Insurer code

Insurer/TPA claim # And Commonwealth of Pennsylvania Department of Labor & Industry Harrisburg, PA 17104-2501

Check if occupational disease

“FUND” SHALL MEAN THE UNINSURED EMPLOYERS GUARANTY FUND, SUBSEQUENT INJURY FUND, SELF-INSURANCE GUARANTY FUND OR PRE-SELF-INSURANCE GUARANTY FUND. TO YOUR HONORABLE JUDGE: In answer to the captioned claim, the defendant respectfully pleads as follows: (Answers must be identified by numerical order in direct response to corresponding numbered allegations asserted in the claim petition.)

LIBC-364B REV 09-13 (Page 1)

5-1

As a matter of further defense, the defendant states the following:

PLEASE ENTER MY APPEARANCE FOR DEFENDANT: Attorney’s name PA Attorney ID number Firm name Address Address City/Town Telephone

Date filed

State

ZIP

Attorney’s signature

Attorney’s name (typed/printed)

Defendant’s signature

Defendant’s name (typed/printed)

YYYY

Notice: This answer must be filled out as fully as possible. If not filing electronically, the original must be sent to the Workers’ Compensation Office of Adjudication, 1010 N. Seventh St, Suite 202, Harrisburg, PA, 17102-1400. You must send a copy to all unrepresented parties and to the attorney of record for all parties which are represented by counsel. A Proof of Service must be attached. A Proof of Service is a signed statement by you verifying that you have sent a copy of the answer to all parties and their attorneys, if known. Answers must be filed within 20 days of the assignment in of the petition. Every fact alleged in the petition not specifically denied by this answer shall be deemed to be admitted. Questions regarding the completion of this form may be directed to the Bureau of Workers’ Compensation Claims Information Services.

Employer Information Services 717.772.3702

Claims Information Services toll-free inside PA: 800.482.2383 local & outside PA: 717.772.4447

Hearing Impaired toll-free inside PA TTY: 800.362.4228 local & outside PA TTY: 717.772.4991

Auxiliary aids and services are available upon request to individuals with disabilities. Equal Opportunity Employer/Program LIBC-364B REV 09-13 (Page 2)

5-2

Email ra-li-bwc-helpline@pa.gov

*364B*

DEPARTMENT OF LABOR & INDUSTRY WORKERS’ COMPENSATION OFFICE OF ADJUDICATION

DEFENDANT’S ANSWER TO

CLAIM PETITION UNDER

PA WORKERS’ COMPENSATION ACT

DATE OF INJURY

EMPLOYEE SOCIAL SECURITY NUMBER OR WC ID NUMBER

EMPLOYEE

YYYY

EMPLOYER

First name

Name

Last name

Address

Date of birth If deceased - Dependent/Guardian/Personal Representative First name

Address

Last name

County

Address

Telephone

City/Town

State

ZIP

FEIN

VS. INSURER, FUND or THIRD PARTY ADMINISTRATOR (if self-insured)

Address City/Town

WCAIS CLAIM NUMBER

State

ZIP

Name

County

Address

Telephone

Address

INJURY INFORMATION Provide the following information if Employer has accepted liability for this injury: Part of body injured Nature of injury

Accident/injury description narrative

City/Town

State

ZIP

County Telephone

FEIN

NAIC code

or Insurer code

Insurer/TPA claim #

“FUND” SHALL MEAN THE UNINSURED EMPLOYERS GUARANTY FUND, SUBSEQUENT INJURY FUND, SELF-INSURANCE GUARANTY FUND OR PRE-SELF-INSURANCE GUARANTY FUND.

Check if occupational disease

TO YOUR HONORABLE JUDGE: In answer to the captioned claim, the defendant respectfully pleads as follows: (Answer must be identified by numerical order in direct response to corresponding numbered allegations asserted in the claim petition.)

LIBC-374 REV 09-13 (Page 1)

5-3

As a matter of further defense, the defendant states the following:

PLEASE ENTER MY APPEARANCE FOR DEFENDANT: Attorney’s name PA Attorney ID number Firm name Address Address City/Town Telephone

Date filed

State

YYYY

ZIP

Attorney’s signature

Attorney’s name (typed/printed)

Defendant’s signature

Defendant’s name (typed/printed)

Notice: This answer must be filled out as fully as possible. If not filing electronically, the original must be sent to the Workers’ Compensation Office of Adjudication, 1010 N. Seventh St, Suite 202, Harrisburg, PA, 17102-1400. You must send a copy to all unrepresented parties, and to the attorney of record for all other parties which are represented by counsel. A Proof of Service must be attached. A Proof of Service is a signed statement signed by you verifying that you have sent a copy of the answer to all parties and their attorneys, if known. Answers must be filed within 20 days of the assignment of the petition. Every fact alleged in the petition not specifically denied by this answer shall be deemed to be admitted. Questions regarding the completion of this form may be directed to the Bureau of Workers’ Compensation Claims Information Services.

Employer Information Services 717.772.3702

Claims Information Services toll-free inside PA: 800.482.2383 local & outside PA: 717.772.4447

Hearing Impaired toll-free inside PA TTY: 800.362.4228 local & outside PA TTY: 717.772.4991

Email ra-li-bwc-helpline@pa.gov

*374*

Auxiliary aids and services are available upon request to individuals with disabilities.

Equal Opportunity Employer/Program

LIBC-374 REV 09-13 (Page 2)

5-4

DEPARTMENT OF LABOR & INDUSTRY WORKERSâ&#x20AC;&#x2122; COMPENSATION OFFICE OF ADJUDICATION

ANSWER TO PETITION TO/FOR:

DATE OF INJURY

EMPLOYEE SOCIAL SECURITY NUMBER OR WC ID NUMBER

EMPLOYEE

YYYY

EMPLOYER

First name

Name

Last name

Address

Date of birth

Address

City/Town

Address

County

City/Town

WCAIS CLAIM NUMBER

State

ZIP

County Telephone

INJURY INFORMATION Provide the following information if Employer has accepted liability for this injury: Part of body injured Nature of injury

Accident/injury description narrative

State

Telephone

ZIP

FEIN

VS. INSURER or THIRD PARTY ADMINISTRATOR (if self-insured) Name Address Address City/Town

State

ZIP

County Telephone

FEIN

NAIC code

or Insurer code

Insurer/TPA claim #

Check if occupational disease TO YOUR HONORABLE JUDGE: In answer to the following petition(s): Review medical treatment and/or billing

Terminate compensation benefits

Modify compensation benefits

Suspend compensation benefits

Review compensation benefits

Reinstate compensation benefits

Set aside final receipt

Penalties

Joinder of additional defendant In the above case, the respondent respectfully pleads as follows:

LIBC-377 REV 09-13 (Page 1)

(Answer in numerical order in response to corresponding numbers on petitions.)

5-5

Compensation presently payable under:

Notice of compensation payable

Agreement

Supplemental agreement

Award

Additional information:

WHEREFORE, the respondent requests that the petition be dismissed or in the alternative disallowed. Notice: This answer must be filled out as fully as possible. If not filing electronically, the original must be sent to the office of the Judge to whom the case is assigned. You must send a copy to all unrepresented parties, and to the attorney of record for all other parties which are represented by counsel. A Proof of Service must be attached. A Proof of Service is a signed statement signed by you verifying that you have sent a copy of the petition to all parties and their attorneys, if known. Answers must be filed within 20 days of the assignment of the petition. Questions regarding the completion of this form may be directed to the Bureau of Workers’ Compensation Claims Information Services.

PLEASE ENTER MY APPEARANCE FOR RESPONDENT: Attorney’s name PA Attorney ID number Firm name Address Address City/Town State Telephone

Date filed

YYYY

ZIP

Attorney’s signature

Attorney’s name (typed/printed)

Respondent’s signature

Respondent’s name (typed/printed)

Employer Information Services 717.772.3702

Claims Information Services toll-free inside PA: 800.482.2383 local & outside PA: 717.772.4447

Hearing Impaired toll-free inside PA TTY: 800.362.4228 local & outside PA TTY: 717.772.4991

Auxiliary aids and services are available upon request to individuals with disabilities. Equal Opportunity Employer/Program LIBC-377 REV 09-13 (Page 2)

5-6

Email ra-li-bwc-helpline@pa.gov

*377*

dEfEndant’s answEr tO OccuPatiOnaL disEasE cLaiM PEtitiOn sEctiOn 301(i) OnLY

department of labor & industry workers’ compensation office of adJudication

DATE OF INJURY

EMPLOYEE SOCIAL SECURITY NUMBER OR WC ID NUMBER

WCAIS CLAIM NUMBER

YYYY

EMPLOYEE First name Last name Date of birth Address

Vs.

Address City/Town

State

commonwealth of Pennsylvania department of Labor & industry Harrisburg, Pennsylvania

ZIP

County Telephone

tO tHE HOnOraBLE wOrKErs’ cOMPEnsatiOn JudGE: Answers must be identified by numerical order in direct response to corresponding numbered allegation on claim petition. The answer of the defendant to the above-captioned claim petition respectfully represents:

As a further matter of defense, the defendant states the following:

Wherefore, the defendant requests that the claim petition be dismissed. Enter my appearance for defendant (typed) Attorney’s name

Assistant counsel’s signature Bureau of Workers’ Compensation

Address Address I verify that the foregoing answer is true and correct upon information and belief. I understand false statements are subject to the penalties of 18 Pa.C.S. §4904, relating to unsworn falsification to authorities. This answer should be filed direct with the office of the Workers’ Compensation Judge to whom the case is assigned. Answer must be filed within 20 days. Every allegation in the claim petition not specifically denied will be deemed to be admitted. But the failure to deny a fact so alleged shall not preclude the Workers’ Compensation Judge before whom the petition is heard from requiring of his or her own motion proof of such fact. Any individual filing misleading or incomplete information knowingly and with the intent to defraud is in violation of Section 1102 of the Pennsylvania Workers’ Compensation Act, 77 P.S. §1039.2, and may also be subject to criminal and civil penalties under 18 Pa. C.S.A. §4117 (relating to insurance fraud).

Employer information services 717.772.3702

LIBC-524 REV 09-13

claims information services toll-free inside PA: 800.482.2383 local & outside PA: 717.772.4447

Hearing impaired toll-free inside PA TTY: 800.362.4228 local & outside PA TTY: 717.772.4991

Auxiliary aids and services are available upon request to individuals with disabilities.

Equal Opportunity Employer/Program

Email ra-li-bwc-helpline@pa.gov

*524*

5-7

5-8

DEPARTMENT OF LABOR & INDUSTRY WORKERS’ COMPENSATION OFFICE OF ADJUDICATION

NOTICE OF REQUEST FOR AN

INFORMAL CONFERENCE

DATE OF INJURY

EMPLOYEE SOCIAL SECURITY NUMBER OR WC ID NUMBER

EMPLOYEE

WCAIS CLAIM NUMBER

YYYY

EMPLOYER

First name

Name

Last name

Address

Date of birth

Address

City/Town

Address

County

City/Town

State

Telephone

ZIP

County

ZIP

FEIN

INSURER or THIRD PARTY ADMINISTRATOR

Telephone

(if self-insured)

Name Address

WCOA USE ONLY Date filing received

Date of conference

YYYY

City/Town

Address

YYYY

State

County Telephone

Informal conference judge

Was a resolution reached?

Yes Yes

FEIN

Contact

(Print)

Was a time extension granted?

ZIP

NAIC code

No No

Partial

or Insurer code

Insurer/TPA claim #

Pursuant to section 402.1 of the Act, the parties herewith request that the Department schedule an informal conference in the above case.

The employee will be represented by an attorney at the informal conference:

Yes

Employee counsel

Last name

Employer counsel Adjudicating judge Suggested informal conference judge (if agreed upon)

First name

Last name

First name

Last name

First name

Last name

First name

PA Attorney ID number

Pending petition(s):

Notice: This notice must be filled out as fully as possible. The original must be sent to the workers’ compensation judge (adjudicating judge) who has the assigned petition. If there is no pending petition and one is attached, then file it with the Workers’ Compensation Office of Adjudication, 1010 N. Seventh St, Suite 202 Harrisburg, PA, 17102-1400. You must send a copy to all other parties, and to the attorneys of all other parties, if known. A Proof of Service must be attached. A Proof of Service is a signed statement signed by you verifying that you have sent a copy of the petition to all parties and their attorneys, if known. Questions regarding the completion of this form may be directed to Bureau of Workers’ Compensation Claims Information Services.

Date of this notice

COUNSEL FOR PARTY SUBMITTING REQUEST:

Attorney’s name

PA Attorney ID number Address

Attorney’s name (typed/printed)

Address Telephone LIBC-753 REV 09-13 (Page 1)

YYYY

Attorney’s signature

Firm name

City/Town

State

ZIP

Employee/Dependent/Guardian/Personal Representative signature Telephone

6-1

INSTRUCTIONS AND PROCEDURES

• In order to request an informal conference, you must obtain the agreement of all parties in your matter to participate in the informal conference. • To file this form, mail original to the workers’ compensation judge (adjudicating judge) who has the assigned petition. If there is no pending petition and one is attached, then file it with the Workers’ Compensation Office of Adjudication, 1010 N. Seventh St, Suite 202, Harrisburg, PA, 17102-1400. This form may be filed with the signature of a representative of only one party, but only with the knowledge and consent of all parties. • The adjudicating judge is the workers’ compensation judge who has been assigned to hold hearings and issue decisions relating to a petition(s). • The parties may suggest an informal conference judge or hearing officer, but the assignment will be made by the judge manager from the district where the claim is pending. • The informal conference judge or hearing officer will assign a date, location and time for the informal conference to be held within 35 days of filing of the request and may request information from the parties seeking an informal conference. • There shall be no time extension without written agreement of all the parties which shall be filed with the informal conference judge or hearing officer. • The adjudicating judge shall not be assigned to an informal conference. • “All communications, verbal or written, from the parties to the workers’ compensation judge or hearing officer and any information and evidence presented to the workers’ compensation judge or hearing officer during the informal conference proceedings are confidential and shall not be a part of the record of testimony.” WC Act, 402.1(b)(ii). • “Each party may be represented, but the employer may only be represented by an attorney at the informal conference if the employee is also represented by an attorney at the informal conference.” WC Act, 402.1 (b)(iii). • All participants at the informal conference must have authority to resolve the matter in controversy. • The informal conference judge or hearing officer conducting the informal conference may meet separately with each of the parties during the conference and may use other reasonable means to encourage an informal resolution. • If the parties resolve the petition(s), the party who filed the pending petition(s) must notify the adjudicating judge that the petition(s) is (are) resolved. • The informal conference judge or hearing officer conducting the informal conference shall reduce the agreement reached to writing which will be signed by the parties. The original informal conference agreement and attached documents shall be filed with the adjudicating judge with the copy to the informal conference judge or hearing officer. • If the informal conference does not resolve the case, it will be returned to the assigned adjudicating judge. The parties may jointly request the adjudicating judge to reassign the case to the workers’ compensation judge who conducted the informal conference if the conference was held by a workers’ compensation judge subject to WCOA approval. • Parties may agree to pursue the Compromise and Release procedures as a result of the informal conference through the adjudicating judge, but the Compromise and Release Agreements will not be accepted at informal conferences.

Employer Information Services 717.772.3702

Claims Information Services toll-free inside PA: 800.482.2383 local & outside PA: 717.772.4447

Hearing Impaired toll-free inside PA TTY: 800.362.4228 local & outside PA TTY: 717.772.4991

Auxiliary aids and services are available upon request to individuals with disabilities.

Equal Opportunity Employer/Program

LIBC-753 REV 09-13 (Page 2)

6-2

Email ra-li-bwc-helpline@pa.gov

*753*

INFORMAL CONFERENCE AGREEMENT FORM

DEPARTMENT OF LABOR & INDUSTRY WORKERS’ COMPENSATION OFFICE OF ADJUDICATION

DATE OF INJURY

EMPLOYEE SOCIAL SECURITY NUMBER OR WC ID NUMBER

EMPLOYEE

WCAIS CLAIM NUMBER

YYYY

EMPLOYER

First name

Name

Last name

Address

Date of birth

Address

City/Town

Address

County

City/Town

State

Telephone

ZIP

County

ZIP

FEIN

INSURER or THIRD PARTY ADMINISTRATOR

Telephone

(if self-insured)

Name Address Address City/Town

State

ZIP

County Telephone

FEIN

Contact NAIC code

or Insurer code

Insurer/TPA claim #

This matter is currently pending on

TYPE OF PETITION(S)

before Workers’ Compensation Judge

NAME ADDRESS

On the parties filed a Notice of Request for an Informal Conference pursuant to Section MM

YYYY

402.1 of the Pennsylvania Workers’ Compensation Act. 3.

An informal conference was conducted before At that conference, the employee

was

Workers’ Compensation Judge

was not

represented by counsel, and the employer

was

YYYY

was not

represented by counsel. 4.

The parties have agreed upon the following matters at the informal conference:

LIBC-754 REV 09-13 (Page 1)

6-3

If necessary, attach separate pages, each signed by all parties, to state fully the matters agreed upon at the conference. If a Notice of Compensation Payable, Agreement for Compensation, or Supplemental Agreement has/have been executed, attach such document(s). Complete all required EDI transactions in accordance with the provisions of the EDI Implementation Guide.

Date of this agreement

YYYY

Employee’s signature

Insurer/Employer’s Agent’s signature

Employee’s name (typed/printed)

Insurer/Employer’s Agent’s name

(typed/printed)

Employee’s Attorney’s signature

Insurer/Employer’s Attorney’s signature

Employee’s Attorney’s name (typed/printed)

Insurer/Employer’s Attorney’s name

(typed/printed)

Employer Information Services 717.772.3702

Claims Information Services toll-free inside PA: 800.482.2383 local & outside PA: 717.772.4447

Hearing Impaired toll-free inside PA TTY: 800.362.4228 local & outside PA TTY: 717.772.4991

Email ra-li-bwc-helpline@pa.gov

*754* Auxiliary aids and services are available upon request to individuals with disabilities. Equal Opportunity Employer/Program LIBC-754 REV 09-13 (Page 2)

6-4

DEPARTMENT OF LABOR & INDUSTRY BUREAU OF WORKERS’ COMPENSATION

WORKERS’ COMPENSATION

MEDICAL REPORT FORM

THIS FORM IS TO BE FILED WITH THE EMPLOYER OR INSURER ACCORDING TO INSTRUCTIONS PROVIDED ON THIS FORM. Name of employee Name of employer Name of insurer WCAIS claim number

Date of birth

Employee SS# XXX-XXOr WC ID number

Date of injury

Date of report Provider name Provider address Contact person

Telephone

Health care providers shall complete and submit the appropriate HCFA billing form and needed documentation to the employer. If the employer is covered by an insurer, the appropriate billing form and documentation is to be sent to the insurer. The LIBC-9 form and required accompanying documentation shall be submitted within 10 days of commencing treatment and at least once a month thereafter, as long as treatment continues. If a provider does not submit the required medical reports in the prescribed format, the employer/insurer is not obligated to pay for such treatment until the required report is received by the employer/insurer. Documentation shall include (where pertinent) claimant’s history, diagnosis, description of treatment and services rendered, physical findings and prognosis including whether or not there has been recovery enabling the claimant to return to work with or without limitations, and specific restrictions, if any, regarding return to work. Bills for follow-up visits should include progress/office notes to support the diagnosis and codes billed. Providers may not charge for documentation supporting a claim for payment. Providers may charge their usual fee for special reports specifically requested by the employer/insurer. All patient information shall be submitted with the knowledge of the patient and must be maintained as confidential by the employer/insurer. The employer/insurer shall not be liable to pay for treatment until the required documents have been provided. Listed on the reverse are guidelines for the completion of billing forms and submission of records.

LIBC-9 REV 09-13 (Page 1)

7-1

BILLING FORM GUIDELINES: Requests for payment of medical bills shall be made either on the HCFA Form 1500 or the UB92 Form, or any successor forms required by HCFA/CMS. Forms must be signed or typed with the name of the provider. Name and signature (if signature is used) must match. Cost-based providers shall submit a detailed bill including service codes and rev codes consistent with the service codes and rev codes submitted to the Bureau of Workers’ Compensation on the detailed charge master. Until a health care provider submits bills on one of the forms specified above, employers/insurers are not required to pay for the treatment billed. MEDICAL REPORT FORM GUIDELINES: This form must be submitted within 10 days of initial treatment and monthly thereafter, and must be accompanied by documentation to support the billing. Suggested supporting documentation: Physicians — Office notes Physical/Occupational therapists — Daily treatment records/notes with physician referral Pharmacies — NCD#, amount dispensed, RX# DME vendor — Medicare/HCPC code, certificate of medical necessity Chiropractors — Treatment notes Ambulance providers — Medicare codes, notes/reports X-ray/MRI facilities — Reports Lab Facilities — Test results Anesthesia services — ASA code, base/time units, anesthesia record Hospitals — Records from area providing the service (e.g. emergency, outpatient surgery...) Inpatient hospital admissions — H&P, discharge summary, operative report (if applicable) CORFs & Rehabilitation Centers — Daily treatment notes, including physician orders Ambulatory surgery centers — Notes and reports General for all providers: Use the most appropriate and specific HCFA/CMS coding on billing. When using miscellaneous codes, include detailed description of services.

Employer Information Services 717.772.3702

Claims Information Services toll-free inside PA: 800.482.2383 local & outside PA: 717.772.4447

Hearing Impaired toll-free inside PA TTY: 800.362.4228 local & outside PA TTY: 717.772.4991

Auxiliary aids and services are available upon request to individuals with disabilities.

Equal Opportunity Employer/Program

LIBC-9 REV 09-13 (Page 2)

7-2

Email ra-li-bwc-helpline@pa.gov

*9*

dismemberment chart

sec. 306(c) WOrKers’

cOmPensatiOn act as amended

department of labor & industry bureau of workers’ compensation

DATE OF INJURY

EMPLOYEE SOCIAL SECURITY NUMBER OR WC ID NUMBER

emPLOYee

YYYY

emPLOYer

First name

Name

Last name

Address

Date of birth

Address

City/Town

Address

County

City/Town

WCAIS CLAIM NUMBER

State

ZIP

Telephone

County

State

ZIP

FEIN

insUrer or third PartY administratOr (if self-insured)

Telephone

Name Address

inJUrY inFOrmatiOn

Address

Part of body injured

City/Town

Nature of injury

State

ZIP

County

Accident/injury description narrative

Telephone

FEIN

Contact Marked by Check if occupational disease

M.D.

NAIC code

or Insurer code

Insurer/TPA claim #

(OVER) LIBC-134 REV 09-13 (Page 1)

7-3

dismemberment chart

sec. 306(c) Workers’ compensation act as amended

Distal phalange+

Middle phalange

Phalanges

Proximal phalange

Distal phalange+

Proximal phalange

Metacarpus Metacarpal+ Hamate Triquetral

Capitate Trapezoid

Carpus

Trapezium+ Scaphold+

Pisiform Lunate+

employer information services 717.772.3702

LIBC-134 REV 09-13 (Page 2)

7-4

claims information services toll-free inside PA: 800.482.2383 local & outside PA: 717.772.4447

hearing impaired toll-free inside PA TTY: 800.362.4228 local & outside PA TTY: 717.772.4991

Auxiliary aids and services are available upon request to individuals with disabilities.

Equal Opportunity Employer/Program

email ra-li-bwc-helpline@pa.gov

*134*

dismemberment chart

sec. 306(c) WOrKers’

cOmPensatiOn act as amended

department of labor & industry bureau of workers’ compensation

DATE OF INJURY

EMPLOYEE SOCIAL SECURITY NUMBER OR WC ID NUMBER

emPLOYee

YYYY

emPLOYer

First name

Name

Last name

Address

Date of birth

Address

City/Town

Address

County

City/Town

WCAIS CLAIM NUMBER

State

ZIP

Telephone

County

State

ZIP

FEIN

insUrer or third PartY administratOr (if self-insured)

Telephone

Name Address

inJUrY inFOrmatiOn

Address

Part of body injured

City/Town

Nature of injury

State

ZIP

County

Accident/injury description narrative

Telephone

FEIN

Contact Marked by Check if occupational disease

M.D.

NAIC code

or Insurer code

Insurer/TPA claim #

(OVER) LIBC-134F REV 09-13 (Page 1)

7-5

dismemberment chart

sec. 306(c) Workers’ compensation act as amended

The Left Foot (Dorsal surface) Tendo Achillis

Os Calcis

Astragalus

Extensor brevis digitorum Ex. cuneiform

Cuboid Scaphoid

Peroneus brevis

Cuneiform

Peroneus tertius Mid cuneiform

le Dorsa usc l interossei m

METATARSUS

4th 1st

2nd

3rd

iV i

iii ii

Extensor brevis digitorum

FIRST PHALANX SECOND PHALANX THIRD PHALANX

Extensor longus halluois

Extensor longus digitorum

employer information services 717.772.3702

claims information services toll-free inside PA: 800.482.2383 local & outside PA: 717.772.4447

hearing impaired toll-free inside PA TTY: 800.362.4228 local & outside PA TTY: 717.772.4991

Auxiliary aids and services are available upon request to individuals with disabilities.

Equal Opportunity Employer/Program

LIBC-134F REV 09-13 (Page 2)

7-6

email ra-li-bwc-helpline@pa.gov

*134F*

physician’s affidavit

of recovery

department of labor & industry bureau of workers’ compensation

DATE OF INJURY

EMPLOYEE SOCIAL SECURITY NUMBER OR WC ID NUMBER

eMpLoyee

WCAIS CLAIM NUMBER

YYYY

eMpLoyer

First name

Name

Last name

Address

Date of birth

Address

City/Town

Address

County

City/Town

State

ZIP

State

Telephone

ZIP

FEIN

County Telephone

This is to certify that the aforementioned employee has fully recovered from the following work injury:

which occurred on the date shown above, and is able to resume, without limitation, his/her previous occupation of

on MM

. YYYY

This affidavit is based upon an examination of aforementioned employee performed by the undersigned physician on

. YYYY

I attest or affirm that the statements contained herein are true and correct to the best of my knowledge, information and belief.

physician SUBSCRIBED AND SWORN TO (OR AFFIRMED) BEFORE ME THIS DAY OF

First name Last name Signature

YYYY

employer information services 717.772.3702

LIBC-497 REV 09-13

claims information services toll-free inside PA: 800.482.2383 local & outside PA: 717.772.4447

hearing impaired toll-free inside PA TTY: 800.362.4228 local & outside PA TTY: 717.772.4991

Auxiliary aids and services are available upon request to individuals with disabilities.

Equal Opportunity Employer/Program

email ra-li-bwc-helpline@pa.gov

*497* 7-7

7-8

application for fee review

pursuant to section 306 (f.1)

department of labor & industry bureau of workers’ compensation

PATIENT/EMPLOYEE SOCIAL SECURITY NUMBER OR WC ID NUMBER

DATE OF INJURY

patient/eMploYee

Name

Last name

Address

Date of birth

Address

City/Town

Address

Telephone State

ZIP

MC Provider #NPI #

Telephone

Specialty

insurer or tHirD partY aDMinistrator

(if self-insured)

State

ZIP

Federal tax ID number

County

Contact

proviDer representative or corresponDence aDDress (if Other than Above)

Name Address

Name

Address City/Town

YYYY

proviDer

First name

City/Town

WCAIS CLAIM NUMBER

Address State

ZIP

County

Address City/Town

Telephone

State

ZIP

Telephone

Contact NAIC code

notice: Section 306(f.1)(5) of the Worker’s Compensation Act requires that the Application for Fee Review must be filed not more than 30 days following notification of a disputed treatment or 90 days following the original billing date of treatment, whichever is later.

or Insurer code

(*Required: see BWC Website for NAIC or Insurer codes)

Insurer/TPA Claim # FEIN

eMploYer Name Address Address City/Town

State

ZIP

County Telephone

FEIN

instructions: If not filing electronically, this form must be used to request medical fee review pursuant to Section 306 (f.1)(5) of the Workers’ Compensation Act. Your application will be returned and your request for review may not be considered until all requested documentation is provided per Sections 127.252(b) and 127.253 of the Rules and Regulations. NOTE: If not filing electronically, send the original to: Bureau of Workers’ Compensation, Medical Fee Review Section 1171 South Cameron Street, Harrisburg, PA 17104-2597 LIBC-507 REV 09-13 (Page 1)

8-1

proof of service

I hereby cerify that on MM

, I served copies of the Application for Fee Review and the attached YYYY

supporting documentation to

Insurer/Employer Street address

City/Town

State

via

ZIP

First class mail, overnight mail, etc. Provider or representative’s signature

Provider or representative’s name

(Note: Request will be returned if not signed and dated)

(Typed/Printed)

Telephone This is an Act 46 (firefighter cancer) claim Is this Fee Review Request related to trauma? Review being requested for:

Yes

Amount of payment

No Timelines of payment

Date bill originally submitted to carrier:

Dates of service From

YYYY

Paid part/ Denied Paid Denied part

No response from insurer

Both

YYYY

Employer Information Services 717.772.3702

Claims Information Services toll-free inside PA: 800.482.2383 local & outside PA: 717.772.4447

Hearing Impaired toll-free inside PA TTY: 800.362.4228 local & outside PA TTY: 717.772.4991

Auxiliary aids and services are available upon request to individuals with disabilities. Equal Opportunity Employer/Program LIBC-507 REV 09-13 (Page 2)

8-2

Email ra-li-bwc-helpline@pa.gov

*507*

department of labor & industry bureau of workers’ compensation

instructions for completing utilization review request

Pursuant to the provisions of the Workers’ Compensation Act (Act) and 34 Pa. Code Chapter 127 Medical Cost Containment Regulations, Utilization Review (UR) of all treatment provided by a health care provider under the Act may be subject to UR at the request of an employee, employer or insurer. Persons requesting a UR must provide all information requested on the attached Utilization Review request form. Please file electronically or complete this form carefully and accurately and MAIL the original UR request along with any attachments to: Commonwealth of Pennsylvania Department of Labor & Industry Bureau of Workers’ Compensation Medical Treatment Review Section 1171 South Cameron Street, Room 310, Harrisburg, PA 17104-2597 Copies of the original UR request along with any attachments must also be mailed or electronically submitted to all parties (the employee, all providers under review, the insurer/employer and all counsel). For any questions regarding the filing of the UR request, please contact the Medical Treatment Review Section at 717-772-1914. The UR request must be filled out completely. All information is required. Please enter “NONE” where appropriate. Please type or print clearly. 1. Request filed on behalf of: Check the appropriate box. 2. Employee Information: Enter all requested information. 3. Attorney for employee: Enter all requested information. 4. Employer information: Enter all requested information. 5. Insurer or self-insured employer’s third party administrator (TPA): Enter all requested information including the NAIC code or Insurer code of the insurer or self-insured employer (available at www.dli.state.pa.us). 6. Attorney for insurer/employer: Enter all requested

information.

7. Provider(s) under review: Enter the full name, complete address and telephone number of all providers who rendered or will render the treatment(s) or services(s) for which you are requesting UR. Remember that when the treatment or service to be reviewed is anesthesia incident to surgical procedures, diagnostic tests, prescriptions or durable medical equipment, the request for UR must identify the provider who made the referral, ordered or prescribed the treatment or service as the provider under review. Further, please note that you may only request review of individual providers (i.e., physician, chiropractors, etc.), and not facilities. While facilities are often “licensed” (i.e., hospitals, only the actual providers who treat patients may be reviewed. If the treatment which you wish to review constitutes a continuum of care, please identify all providers who rendered such treatment. Finally, if multiple providers rendered treatment under the direction or supervision of a provider with greater knowledge, education or responsibility for patient care, kindly identify both the individual providers and the directing/supervising provider. LIBC-601 REV 09-13

8. Treatment to be reviewed: Specify ONLY the treatment or health care service to be reviewed (e.g. “Facet injections lumbar spine”), and identify the start date and end date of treatment(s) which you wish to submit to UR. If the end date is indeterminate, please enter “ongoing.” If requesting a prospective review, simply state “prospective.” Do not include any other information, such as billing issues, previous URs, or other comments which may influence a reviewer. Such comments will not be forwarded to a reviewer. 9. Billing dates for retrospective review: A UR request must be filed within 30 days of the insurer/employer’s receipt of the bill and medical report relating to the treatment under review. If you have not received a bill and/or medical report for the treatment under review or if this request is filed by the employee enter “none,” otherwise, for each provider under review, enter the date upon which the insurer/employer received the bills and reports which represents the start date of treatment submitted for UR. 10. Payment pending WCJ decision: If payment for the treatment under review was withheld pending a decision on a claim or reinstatement petition, please indicate provider(s), whose payment was withheld, and enter the circulation date of the decision awarding benefits. 11. Other treating providers: If necessary on a separate sheet, enter the full name, license, specialty, complete address and valid telephone number of all other health care providers who rendered treatment or services for the work-related injury. Please do not include non-treating providers such as those who have performed independent medical examinations. 12. Act 46: Check the box if this is an Act 46 (firefighter claim). 13. Proof of service: Provide the date the UR request was signed and mailed to all parties. If you amend or “re-file” this request, you must update the Proof of Service Date. 14. Requesting party or representative: Type or print your name, address and telephone number. You MUST sign the UR Request, or follow the online instructions to do so electronically.

8-3

8-4

department of labor & industry bureau of workers’ compensation

utilization review request

The UR Request must be filled out completely (follow instructions): ALL INFORMATION IS REQUIRED.

DATE OF INJURY

EMPLOYEE SOCIAL SECURITY NUMBER OR WC ID NUMBER

Filed on behalf of:

eMPloYee

Employee

Insurer/Employer 3.

Firm name

Last name

First name

Date of birth

Last name

Address

Address State

YYYY

eMPloYee attorneY

First name

City/Town

ZIP

WCAIS CLAIM NUMBER

State

ZIP

County 4.

eMPloYer

Employer name

NAIC code Insurer/TPA name

Address

or Bureau code

(Required: See BWC Website for Bureau codes)

Address

City/Town

insurer or selF insureD tPa

State

ZIP

insurer/eMPloYer attorneY

Insurer claim # Address

Firm name

Address

First name

City/Town

Last name

Claim rep name

State

ZIP

Address Address City/Town

State

ZIP

7-10 Provider under review/treatment information Please see instructions ProviDer 1 First name Office address City Telephone Treatment to be reviewed: Start/End date Bill rec’d

Last name State

None

ProviDer 2 First name Office address City Telephone Treatment to be reviewed: Start/End date Bill rec’d LIBC-601 REV 09-13 (Page 1)

ZIP

License/Specialty

WCJ Circulation date Report rec’d

None

Last name State

ZIP

License/Specialty

None

WCJ Circulation date Report rec’d

None

8-5

ProviDer 3 First name Office address City Telephone Treatment to be reviewed:

Last name State

ZIP

License/Specialty

Start/End date Bill rec’d

None

ProviDer 4 First name Office address City Telephone Treatment to be reviewed:

WCJ Circulation date Report rec’d

None

Last name State

ZIP

License/Specialty

Start/End date Bill rec’d

None

ProviDer 5 First name Office address City Telephone Treatment to be reviewed:

WCJ Circulation date Report rec’d

None

Last name State

ZIP

License/Specialty

Start/End date Bill rec’d

None

WCJ Circulation date Report rec’d

None

(Pursuant to §127.404(b) the request for UR shall be filed within 30 days of receipt of the bill and report for the treatment at issue) 11.

other treating Providers: If not filing electronically, please list any other treating providers for this claimant on additional sheet. Include first and last name, license and specialty, full address and telephone number for each provider.

12.

This is an Act 46 (firefighter cancer) claim

13.

Proof of service: I hereby certify that on this day I have mailed a copy of this request to all parties and their attorneys, if known, including the provider(s) under review. ANY FALSE STATEMENT CONTAINED IN THIS UTILIZATION REVIEW REQUEST MAY BE THE SUBJECT OF PROSECUTION UNDER ARTICLE XI OF THE ACT (RELATING TO INSURANCE FRAUD), OR 18 Pa. C.S. §4903 (RELATING TO FALSE SWEARING).

14.

Requesting Party or Representative’s signature

Requesting Party or Representative’s name (typed/printed)

Address

City

Telephone number

Email address

State

ZIP

Proof of Service date (MUST be updated if request is amended/re-filed) NOTE: If not filing electronically, send the original to: Bureau of Workers’ Compensation, Medical Treatment Review Section 1171 South Cameron Street, Harrisburg, PA 17104-2597 DO NOT attach deposition, medical records, IME reports or any other document not specifically requested to the UR Request Form. Any attachments not specifically requested will NOT be forwarded to the URO, and will NOT be returned. The Bureau will destroy/shred all attachments not requested. Any individual filing misleading or incomplete information knowingly and with the intent to defraud is in violation of Section 1102 of the Pennsylvania Workers’ Compensation Act, 77 P.S. §1039.2, and may also be subject to criminal and civil penalties under 18 Pa. C.S.A. §4117 (relating to insurance fraud).

employer information services 717.772.3702

Claims information services toll-free inside PA: 800.482.2383 local & outside PA: 717.772.4447

Hearing impaired toll-free inside PA TTY: 800.362.4228 local & outside PA TTY: 717.772.4991

Auxiliary aids and services are available upon request to individuals with disabilities.

Equal Opportunity Employer/Program

LIBC-601 REV 09-13 (Page 2)

8-6

email ra-li-bwc-helpline@pa.gov

*601*

petition for review of

utilization review

determination

department of labor & industry workers’ compensation office of adjudication

DATE OF INJURY

EMPLOYEE SOCIAL SECURITY NUMBER OR WC ID NUMBER

WCAIS CLAIM NUMBER

YYYY

If the insurer/employer, employee or provider disagrees with the determination rendered against it by the URO, the insurer/employer, employee or provider may file this petition to request that a Workers’ Compensation Judge review the URO’s determination.

emploYee

emploYer

First name

Name

Last name

Address

Date of birth

Address

City/Town

Address

County

City/Town

State

ZIP

State

Telephone

County

ZIP

FEIN

vS. inSurer or tHird partY adminiStrator (if self-insured)

Telephone

Name Address

utilization review number: (FROM THE UTILIZATION REVIEW DETERMINATION FACE SHEET)

Address City/Town

URO name

Telephone

Address ZIP

Employee

attorneY for inSurer/emploYee

(if known)

Insurer/Employer

Name

Firm name

Address

LIBC-603 REV 09-13 (Page 1)

State

ZIP

PA Attorney ID number

Health Care Provider

attorneY for inSurer/emploYer

Name

Telephone

FEIN

Insurer/TPA claim # State

This request is filed by or on behalf of

City/Town

ZIP

County

Address

City/Town

State

City/Town Telephone

State

(if known)

ZIP

PA Attorney ID number

8-7

I hereby request that this petition be assigned to a Workers’ Compensation Judge for a hearing to determine the reasonableness or necessity of the treatment provided by or prescribed by the health care provider below:

provider under review

attorneY for provider

First name

Name

Last name

Firm name

(if known)

Address

Address City/Town

State

City/Town

ZIP

Telephone

State

ZIP

PA Attorney ID number

NOTE: The ‘treatment to be reviewed’ and the ‘dates of treatment’ can be obtained from the UR Request form.

Treatment to be reviewed: (NOTE: DO NOT USE PROCEDURE CODES TO IDENTIFY TREATMENT TO BE REVIEWED)

Date(s) of treatment to be reviewed: MM

YYYY

I hereby certify that on this day I have mailed a copy of this petition to all parties and their attorneys, if known, including the provider whose treatment is under review.

Requesting Party or Representative’s signature

Date MM

Requesting Party or Representative’s name

(typed/printed)

YYYY

NOTICE: Petition will be returned if not signed and dated. Do not attach any documents to this petition. The Workers’ Compensation Office of Adjudication will destroy all attachments and NOT forward them to the Workers’ Compensation Judge and NOT return them to you.

NOTE: This petition must be filled out as fully as possible. If not filing electronically, the original must be sent to the Workers’ Compensation Office of Adjudication, 1010 N 7th Street, Suite 202, Harrisburg, PA, 17102-1400. You must send a copy to all other parties, and on the attorneys of all other parties, if the attorneys are known. A proof of service must be attached. A proof of service is a signed statement signed by you verifying that you have sent a copy of the petition to all parties and their attorneys, if known. Questions regarding the completion of this form may be directed to Bureau of Workers’ Compensation Claims Information Services. Any individual filing misleading or incomplete information knowingly and with the intent to defraud is in violation of Section 1102 of the Pennsylvania Workers’ Compensation Act, 77 P.S. §1039.2, and may also be subject to criminal and civil penalties under 18 Pa. C.S.A. §4117 (relating to insurance fraud).

Employer Information Services 717.772.3702

Claims Information Services toll-free inside PA: 800.482.2383 local & outside PA: 717.772.4447

Hearing Impaired toll-free inside PA TTY: 800.362.4228 local & outside PA TTY: 717.772.4991

Auxiliary aids and services are available upon request to individuals with disabilities.

Equal Opportunity Employer/Program

LIBC-603 REV 09-13 (Page 2)

8-8

Email ra-li-bwc-helpline@pa.gov

*603*

REQUEST FOR HEARING TO

CONTEST FEE REVIEW

DETERMINATION

DEPARTMENT OF LABOR & INDUSTRY WORKERS’ COMPENSATION OFFICE OF ADJUDICATION

DATE OF INJURY

PATIENT/EMPLOYEE SOCIAL SECURITY NUMBER OR WC ID NUMBER

PROVIDER

WCAIS CLAIM NUMBER

YYYY

INSURER or THIRD PARTY ADMINISTRATOR (if self-insured)

Name

Address

City/Town

State

ZIP

City/Town

State

ZIP

County

County Telephone

Telephone

FEIN

Specialty

Contact

NAIC code

FEIN

or Insurer code

Insurer/TPA claim #

PATIENT/EMPLOYEE

EMPLOYER

First name Last name

Name

Date of birth

Address

City/Town

State

Telephone

FEIN

City/Town

State

ZIP

THIS REQUEST IS BEING FILED BY:

HEALTH CARE PROVIDER

ZIP

INSURER/EMPLOYER

FEE REVIEW APPLICATION NUMBER(S) AND DATE OF FEE REVIEW DETERMINATIONS(S): Application number:

Determination date:

Application number:

Determination date:

Application number:

Determination date:

TO THE FEE REVIEW HEARING OFFICE: I hereby request a de novo hearing by a fee review hearing officer under 34 Pa. Code §127.257 in the above-referenced Fee Review Application(s). a.

The following bills are disputed:

BILLING FORM

LIBC-606 REV 09-13 (Page 1)

DATE OF BILL

SERVICE DATE

PROC/SVC CODE

AMOUNT BILLED

8-9

b. The following factual issues relative to the medical payment matter are in dispute. Concisely state all factual issues. Do Not attach supplemental pages.

c. The following legal issues are in dispute. Concisely cite the specific statutory and regulatory authority asserted to be relevant and/or applicable in this matter. Do Not attach supplemental pages.

Requesting Party or Representative’s signature

Requesting Party or Representative’s name

(typed/printed)

Telephone

PLEASE ENTER MY APPEARANCE FOR PETITIONER:

COUNSEL FOR RESPONDENT (if known):

Attorney’s name PA Attorney ID number Firm name Address Address City/Town Telephone

State

ZIP

State

ZIP

Notice: This petition must be filled out as fully as possible. If not filing electronically, the original must be sent to the Workers’ Compensation Office of Adjudication, 1010 N. Seventh St, Suite 202, Harrisburg, PA, 17102-1400. A copy must be sent to the prevailing party in the fee review determination that you are appealing. A Proof of Service must be attached. A Proof of Service is a signed statement signed by you verifying that you have sent a copy of the petition to all parties and their attorneys, if known. All requests for a hearing will be returned if not signed and dated. Do not attach documents to this request. The Workers’ Compensation Office of Adjudication will destroy all attachments and will NOT process them or return them to you.

Employer Information Services 717.772.3702

Claims Information Services toll-free inside PA: 800.482.2383 local & outside PA: 717.772.4447

Hearing Impaired toll-free inside PA TTY: 800.362.4228 local & outside PA TTY: 717.772.4991

Auxiliary aids and services are available upon request to individuals with disabilities. Equal Opportunity Employer/Program LIBC-606 REV 09-13 (Page 2)

8-10

Email ra-li-bwc-helpline@pa.gov

*606*

0-&' 6): SUBMIT APPLICATION TO: COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF LABOR AND INDUSTRY BUREAU OF WORKERS’ COMPENSATION 1171 S. CAMERON STREET, ROOM 103 HARRISBURG, PA 17104-2501

EMPLOYER’S APPLICATION TO ELECT DOMESTIC EMPLOYEES TO COME WITHIN PROVISIONS OF THE WORKERS’ COMPENSATION ACT: SECTION 321

1. Name of Employer _____________________________________________________________________________ 2. Address ______________________________________ City ________________________ State ___________ 3. Zip Code ____________________________ Telephone Number_____________________________________ 4. List employee name, address, and social security number: (1) Name of Employee ________________________________________ S. S. # ______________________ Address _______________________________________________________________________________ (2) Name of Employee ________________________________________ S. S. # ______________________ Address _______________________________________________________________________________ (3) Name of Employee ________________________________________ S. S. # ______________________ Address _______________________________________________________________________________ (4) Name of Employee ________________________________________ S. S. # ______________________ Address _______________________________________________________________________________ (5) Name of Employee ________________________________________ S. S. # ______________________ Address _______________________________________________________________________________ 5. Employer currently has workers’ compensation coverage:

Yes

If Yes: Insurance Company _____________________________________________________________________ Policy Number __________________________________ Policy Effective Date ___________________ -, the undersigned employer of the domestic employees named above, do hereby petition the Bureau of Workers’ Compensation, Department of Labor and Industry, to permit me to come within the provisions of the Workers’ Compensation Act of 1915 and the amendments thereto, in accordance with the provisions of Section 321, and I aver that I have been informed and fully understand that, if this application is granted, I will be bound by all of the provisions of the Workers’ Compensation Act.

CCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCC EMPLOYER’S SIGNATURE

CCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCC PRINT NAME

C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C DO NOT WRITE BELOW LINE: BUREAU USE ONLY The application is hereby granted CCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCC CHIEF OF COMPLIANCE, BUREAU OF WORKERS’ COMPENSATION

CCCCCCCCCCCCCC DATE American LegalNet, Inc. www.USCourtForms.com

9-1

9-2

EMPLOYER’S LIGHT DUTY RETURN TO WORK FORM Employee

Employer

Address City

Address State

Zip

Telephone

City

State

Zip

Telephone

LIST OF LIGHT DUTY RESTRICTIONS

(Please have the employee initial each box where a restriction is listed)

**THIS IS NOT AN ADMISSION OF A COMPENSABLE INJURY.** The employee is specifically directed not to work beyond their medical restrictions. If the employee does work beyond the scope of his/her medical restrictions, it will be in direct violation of a “positive work order”. If the undersigned employee violates this “positive work order” to work within their medical restrictions, they may be subject to discipline up to and including termination.

**YOUR SIGNATURE IS A TESTAMENT THAT YOU HAVE READ, UNDERSTOOD AND ANY QUESTIONS THAT YOU HAD WERE ANSWERED.” DATE

EMPLOYEE

DATE

EMPLOYER

DATE

WITNESS

DATE

WITNESS

9-3

9-4

DEPARTMENT OF LABOR & INDUSTRY BUREAU OF WORKERS’ COMPENSATION

INSTRUCTIONS FOR RELIGIOUS EXCEPTION APPLICATION

You can complete the application for religious exception by visiting www.dli.state.pa.us/WCAIS. You must be registered as an employer with WCAIS to submit the application online. Once you are logged in, select the option to submit Application for Religious Exception from the navigation menu. You can also complete and return the forms enclosed. This application is to be used to request an “employee religious exception” from coverage under the Pennsylvania Workers’ Compensation Act pursuant to §304.2 of the Act. All questions must be answered. An executed and notarized copy of Form LIBC-14B, Employee’s Affidavit and Waiver of Workers’ Compensation Benefits and Statement of Religious Sect must be uploaded with the application online or attached to enclosed application for each employee for whom exception is sought. It is necessary that the religious sect leader complete and sign a portion of the form. In the event that the employee has previously been excepted from coverage, a copy of Form LIBC-14C, Certification of Religious Exception, may be uploaded with the application online or attached to this application instead of Form LIBC-14B provided the employee continues to be a member of the same religious sect and continues to adhere to its teachings and tenets. All employees requesting an exception who are members of the same religious sect or division may be included on one application. If you are using the enclosed forms and if additional space is required, indicate at the bottom of Question 7 and attach additional listing. A separate application is required for each religious sect or division thereof under which employee(s) are requesting an exception to the Pennsylvania Workers’ Compensation Act. Notification must be supplied to the Bureau of Workers’ Compensation if any of the employees who are granted such an exception cease to be qualified for that exception.

Employer Information Services 717.772.3702

Claims Information Services toll-free inside PA: 800.482.2383 local & outside PA: 717.772.4447

Hearing Impaired toll-free inside PA TTY: 800.362.4228 local & outside PA TTY: 717.772.4991

Auxiliary aids and services are available upon request to individuals with disabilities. Equal Opportunity Employer/Program LIBC-14 REV 09-13

Email ra-li-bwc-helpline@pa.gov

*14* 9-5

9-6

section 304.2 application for religious exception of specified employees from the provisions of the pennsylvania workers’ compensation act

bureau of workers’ compensation

1. name of employer

fein#

2. address 3. employer is

sole proprietor

partnership

corporation

4. nature of business of employer 5. (a) total number of all persons employed by this employer (b) total number of employees for whom exception is sought 6. employer’s current workers’ compensation coverage: (a) If self-insured, effective date of certificate (b) if covered by insurance policy:

name of insurance company

name and address of insurance agent, if any

policy number

and insurer code number

policy effective date

7. (a) full name of religious sect including division thereof (b) name and address of local leader of above religious sect (c) Does religious sect above provide financial or otherwise, for injured or deceased members and families thereof? yes no (d) list employee member(s), address, date of birth and social security number, requesting exception under the pennsylvania workers’ compensation act. NOTE: for each employee listed, an executed copy of the “Employee’s Affidavit and Waiver of Workers’ Compensation Benefits and statement of religious sect” must be attached to this application. (1) name of employee Address (2) name of employee Address (3) name of employee Address (4) name of employee Address (5) name of employee Address (6) name of employee Address Note: if additional employees, check here

LIBC-14A REV 09-13 (Page 1)

s.s. # Date of s.s. # Date of s.s. # Date of s.s. # Date of s.s. # Date of s.s. # Date of

Birth Birth Birth Birth Birth Birth

and attach separate lists(s).

9-7

8. List employees requesting exception who have been granted a similar exception from coverage under the federal social security system and attach a copy of the approved internal revenue service form 4029, if available. (1) name of employee

s.s. #

Address (2) name of employee

Date of Birth s.s. #

Address

Date of Birth

(3) name of employee

s.s. #

Address

Date of Birth

(4) name of employee Address

s.s. # Date of Birth

(5) name of employee

s.s. #

Address

Date of Birth

(6) name of employee

s.s. #

Address

Date of Birth

This application must be signed by the employer or, if a corporation, an officer thereof as set forth below.

employer’s signature

employer’s name

Officer and title

Telephone

(typed/printed)

Note: If not filing electronically, send the original to: Bureau of Workers’ Compensation Compliance Section, Room 324 1171 South Cameron Street, Harrisburg, PA 17104-2597

Employer Information Services 717.772.3702

Claims Information Services toll-free inside PA: 800.482.2383 local & outside pa: 717.772.4447

Hearing Impaired toll-free inside PA TTY: 800.362.4228 local & outside pa tty: 717.772.4991

Auxiliary aids and services are available upon request to individuals with disabilities.

Equal Opportunity Employer/Program

LIBC-14A REV 09-13 (Page 2)

9-8

Email ra-li-bwc-helpline@pa.gov

*14A*

employee’s affidavit and waiver of workers’ compensation benefits and statement of religious sect

bureau of workers’ compensation

(To be filed with the §304.2 Application for Religious Exception) employee

employer

First name

Employer name

Last name

Address

Date of birth

Address

City/Town

Address

FEIN

City/Town

State

ZIP

waiver of workers’ compensation and affidavit I,

, do hereby state and affirm that I am a member of

EMPLOYEE

RELIGIOUS SECT OR DIVISION

whose established tenets and/or teachings conscientiously oppose member acceptance of any public or private insurance benefits which make payments in the even of death, disability, old age, retirement, or makes payment towards the cost of or provides services for medical bills (including the benefits of any insurance system established by the Federal Social Security Act): I adhere to said tenets and/or teachings. I am, therefore, knowingly and voluntarily waiving my rights to any benefits under the Pennsylvania Workers’ Compensation Act. Subscribed and affirmed to before me this day of

, 20

NOTARY PUBLIC

EMPLOYEE’S SIGNATURE

(or Parent or Guardian in case of minor)

(SEAL)

statement of religious sect I,

RELIGIOUS SECT LEADER

and I verify that

, hereby state and affirm that I am the relgious leader of

ABOVE NAMED EMPLOYEE

RELIGIOUS SECT

is a current member of this sect.

I state and affirm that this religious sect has established tenets and/or teachings which oppose its members’ acceptance of any public or private insurance benefits which make payments in the even of death, disability, old age, retirement, or makes payments towards the cost of or provides services for medical bills (including the benefits of any insurance system established by the Federal Social Security Act). Furthermore, I state and affirm that it is the practice, and has been for NUMBER OF YEARS for members of the sect or division to make provision for their dependent members which, in its judgment, is reasonable in view of their general level of living.

RELIGIOUS SECT LEADER’S SIGNATURE

TITLE

RELIGIOUS SECT LEADER’S NAME

DATE

(typed/printed)

(MM-DD-YYYY)

employer information services 717.772.3702

LIBC-14B REV 09-13

claims information services toll-free inside PA: 800.482.2383 local & outside PA: 717.772.4447

Hearing impaired toll-free inside PA TTY: 800.362.4228 local & outside PA TTY: 717.772.4991

Auxiliary aids and services are available upon request to individuals with disabilities. Equal Opportunity Employer/Program

email ra-li-bwc-helpline@pa.gov

*14B* 9-9

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INFORMATION FOR EMPLOYEE ACKNOWLEDGEMENT FORMS 1. “PANEL PHYSICIANS LIST”: The DESIGNATED HEALTH CARE PROVIDERS (commonly referred to as the “Panel Physicians list”) must be posted in the workplace. a. The Employer may even give a copy to their employees every time they sign the NOTICE OF RIGHTS & DUTIES form. b. If the Employer does not have a fixed workplace, have the supervisors carry extra copies of the “Panel Physicians list” to each job location. c. On accepted cases only, Claimants are required to treat with a medical provider on the employer’s list of DESIGNATED HEALTH CARE PROVIDERS (“Panel Physicians list”) for the first 90 days after the initial visit of treatment. 2. NOTICES: Employers must now provide their employees with two separate notices, on two different pieces of paper, at the time of hire and the time of injury. (See §121.3b of the WC regulations.) a. The notices are: i. NOTICE OF RIGHTS & DUTIES and ii. WORKERS' COMPENSATION INFORMATION b. Procedure: Have the employee sign both forms and give them a copy for their file on two occasions: i. ii.

Time of hire [or now if they are already employed] and Immediately after the injury  Alternatively, as soon as possible under the circumstances of the injury. If the employee’s injuries are so severe that emergency care is required, notice of the employee’s rights and duties shall be given as soon after the occurrence of the injury as is practicable.

c. The employer’s duty to inform shall be evidenced by the employee’s written acknowledgment of having been informed of and having understood the notice of the employee’s rights and duties. d. Any failure of the employer to provide and evidence the notification relieves the employee from any duties specified in the notice, and the employer remains liable for all treatment rendered to the employee. e. However, an employee may not refuse to sign an acknowledgment to avoid duties specified in the notice.

LEGAL DISCLAIMER:

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EMPLOYEE’S RIGHTS & DUTIES UNDER SECTION 306(f.1) OF THE PENNSYLVANIA WORKERS’ COMPENSATION ACT If you are injured while at work and medical treatment is necessary, you are required to visit one of the physicians or health care providers on the list designated by your employer for a period of 90 days from your first visit with the physician or health care provider. All reasonable medical treatment and supplies (e.g. medicines, prosthetics) related to the injury will be paid for by the employer provided treatment is by a designated physician or health care provider on the list during the 90 day period. Charges for treatment and supplies are specified by the ACT. You are not responsible for the payment of any charges in excess of those specified by the ACT. During the 90 day period, you may change from one designated physician or health care provider on the list to another physician or health care provider on the list, and the treatment will be paid for by the employer. If the designated physician or health care provider refers you to a non-designated provider, the employer will pay for the treatment by the non-designated provider. You have the right to obtain emergency medical treatment from a non-designated physician or health care provider however, the subsequent non-emergency treatment must be by a designated physician or health care provider for the remainder of the 90 day period. You may seek treatment or consultation from a non-designated physician or health care provider during the 90 day period however, you are responsible for the charges for this treatment during the 90 day period. If the employer designated physician or health care provider recommends invasive surgery, you are permitted to obtain a second opinion from a non-designated physician or health care provider. Your employer will pay for the cost for this opinion. If this opinion differs from the opinion of the designated physician or health care provider and provides a specific and detailed course of treatment, you may elect to undergo this treatment. The treatment however must be provided by a designated physician or health care provider for 90 days from the date of the visit to the non-designated physician. You have the right to seek treatment from any physician or health care provider after the 90 day period has ended, and your employer will pay for this treatment provided it is reasonable and necessary. You have the duty to notify your employer of treatment by a non-designated physician or health care provider within five days of your visit to this physician or provider. Your employer may not be required to pay for treatment by a non-designated physician or health care provider prior to notification. The employer however shall pay for this treatment once notified unless the treatment is found to be unreasonable. Signing this form is an acknowledgment of your rights and duties. You may not refuse to sign this acknowledgment in order to avoid your duties. If you have any questions, please feel free to contact the Bureau of Workers’ Compensation at 1-800-482-2383 or (717) 7835421. I acknowledge that I have been informed of an understand the above rights and duties.

Employee Signature

Date

Employer’s Representative Signature

Date

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WORKERS’ COMPENSATION INFORMATION The workers’ compensation law provides wage loss and medical benefits to employees who cannot work, or who need medical care, because of a work-related injury. Benefits are required to be paid by our employer when self-insured, or through insurance provided by your employer. Your employer is required to post the name of the company responsible for paying workers’ compensation benefits at its primary place of business and at its sites of employment in a prominent and easily accessible place, including, without limitation, areas used for the treatment of injured employees or for the administration of first aid. You should report immediately any injury or work-related illness to your employer. Your benefits could be delayed or denied if you do not notify your employer immediately. If your claim is denied by your employer, you have the right to request a hearing before a workers’ compensation judge. The Bureau of Workers’ Compensation cannot provide legal advice. However, you may contact the Bureau of Workers’ Compensation for additional general information at: Bureau of Workers’ Compensation, 1171 South Cameron Street, Room 103, Harrisburg, PA 17104-2501; telephone number within Pennsylvania (800) 482-2383; telephone number outside of this Commonwealth (717) 772-4447; TTY (800) 362-4228 (for hearing and speech impaired only); www.state.pa.us, PA Keyword: workers comp. I acknowledge that I have been informed of and understand the above rights and duties. I hereby acknowledge receipt of the “WORKERS’ COMPENSATION INFORMATION” form.

Employee Signature

Date

Employer’s Representative Signature

Date

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NOTICE OF CLAIM AGAINST

UNINSURED EMPLOYER

DEPARTMENT OF LABOR & INDUSTRY BUREAU OF WORKERS’ COMPENSATION

DATE OF INJURY

EMPLOYEE SOCIAL SECURITY NUMBER OR WC ID NUMBER

WCAIS CLAIM NUMBER

YYYY

Instructions: Please complete both sides of this form and mail to 1171 S. Cameron St., Room 103, Harrisburg, PA 17104-2501. You must also forward a copy to the Pennsylvania Uninsured Employers Guaranty Fund at P.O. Box 1774, Harrisburg, PA 17105-1774. You must complete all questions that appear in bold print or the Bureau will not accept this form and will return it to you. A Claim Petition for Benefits From the Uninsured Employer and the Uninsured Employers Guaranty Fund, Form LIBC-550, may be filed 21 days after filing this form.

EMPLOYEE

EMPLOYER

First name

Name

Last name

Address

Date of birth

Address

City/Town

Address

County

City/Town

State

County

Telephone

ZIP

State

ZIP

FEIN

Owner/Contact

Injury Did the injury result in a fatality?

Yes

Where did the injury occur; Address: City:

State:

Describe the incident and injury.

Was the injury reported to the employer?

Yes

If yes, when?

To whom? Disability Occupation/Job Title List the employee’s weekly wages at the time of injury Last day worked

Hours worked per week

YYYY

ATTACH MOST RECENT PAY STATEMENT OR CHECK/STUB. Did the injury cause a loss of wages?

Yes

Has the employer been paying for lost wages? Has the employee returned to work? How much is the employee earning $

Yes

No Yes No

No If so, when?

per hour / day / week (circle one)

For whom does the employee work? Give name, address and telephone number LIBC-551 REV 09-13 (Page 1)

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Medical

Has the employee sought medical treatment for the work injury?

Has the employer paid for medical treatment for the work injury?

Yes Yes

No No

List Doctors/Medical Facilities and their addresses. (Attach additional sheets, if necessary.)

The injured employee (or dependent, if the employee is deceased) must complete and sign the following authorization, which the Uninsured Employers Guaranty Fund may use to collect records relating to medical treatment that the injured or deceased employee received, and to collect wage information from the injured or deceased employee’s current or previous employer(s).

AUTHORIZATION TO RELEASE INFORMATION/VERIFICATION OR INFORMATION To Whom It May Concern: By signing below, I hereby request and authorize you to furnish to the Pennsylvania Uninsured Employers Guaranty Fund or its representative(s) any and all information you have concerning the above-named employee with respect to any illness or injury, medical history, consultation, treatment, including x-rays, as well as copies of all hospital or medical records, military records or other government records. I further request and authorize employers to furnish complete information concerning wages, commissions and the like. By signing below, I attest that I am the employee identified above, or that I am the deceased employee’s dependent authorized to request the release of such records, and that I am pursuing a claim for benefits under the Pennsylvania Workers’ Compensation Act. A photocopy of this authorization shall be considered as effective and valid as the original authorization.

VERIFICATION By signing below, I verify that all information submitted on this form is, to the best of my knowledge, information and belief, true, complete and correct. I understand that any individual who knowingly and with the intent to defraud, files misleading or incomplete information is in violation of Section 1102 of the Pennsylvania Workers’ Compensation Act,

77 P.S. §1039.2, and may also be subject to civil and criminal penalties, including prosecutions under 18 Pa. C.S.A. §4903

(relating to false swearing).

Employee or dependent signature:

Print name:

Address:

Telephone:

Relationship to deceased employee, if applicable:

Employer Information Services 717.772.3702

Claims Information Services toll-free inside PA: 800.482.2383 local & outside PA: 717.772.4447

Hearing Impaired toll-free inside PA TTY: 800.362.4228 local & outside PA TTY: 717.772.4991

Auxiliary aids and services are available upon request to individuals with disabilities.

Equal Opportunity Employer/Program

LIBC-551 REV 09-13 (Page 2)

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Email ra-li-bwc-helpline@pa.gov

*551*

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