Minnesota Work Comp Legal Forms

Date Added: June 12, 2010 04:00:16 AM

Author: Jerry King

First Report of Injury
As soon as an employee suffers a Minnesota work-related injury, a First Report of Injury should be completed. This is a form that is used to describe how and when an injury occurred.

Notice of Primary Liability Determination
After a First Report of Injury is completed, it is sent to the employer’s workers’ compensation insurance company. The insurer then conducts an investigation of how the injury occurred, and completes a Notice of Primary Liability Determination. This is a document that is sent to the employee, employer, and MN Department of Labor. It states whether the insurer accepts responsibility, and whether it will pay benefits.

Employee’s Claim Petition
If any Minnesota workers compensation benefits are denied, then the employee can file a Claim Petition with the Department of Labor. This initiates a claim for benefits, including wage loss benefits, medical benefits, vocational rehabilitation benefits, disability benefits, and reimbursement for mileage and parking.

Medical Request
If medical treatment is disputed, the employee may file a document called a “Medical Request” with the Department of Labor. This can claim that past medical bills be paid, or that recommended medical treatment be approved.

Rehabilitation Request
Employees can also request vocational rehabilitation services or payments by filing a “Rehabilitation Request” with the Department of Labor. Common rehabilitation claims are for QRC services and mileage reimbursement related to job search activities.

Notice of Benefit Payment
This is a document issued by the MN workers compensation insurance company to notify an employee that it is paying a type of benefit.

Notice of Intention to Discontinue Benefits
If the Minnesota worker compensation insurance company seeks to terminate an ongoing benefit, it must serve a document called a Notice of Intention to Discontinue Benefits, stating the type of benefit being terminated, the date of the termination, and the reason why. If the employee disagrees with this, they can request a conference with a compensation judge.

Notice of Taking Deposition
Often times during a workers’ compensation case, the employee’s deposition will be taken. A deposition is a process where the attorneys are able to ask the employee questions under oath, but outside of the courtroom. If one is scheduled, a Notice of Taking Deposition will be issued stating the date and time of the deposition.

Notice of Hearing
If a Claim Petition was filed and the case did not settle, a hearing will be scheduled. The Office of Administrative Hearings will send out a Notice of Hearing to notify the parties of the date, time, and location of the hearing.

Jerry King is the author of this article on Minnesota workers compensation. Find more information about Minnesota work comp here.

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