
Get the free Scheduled Loss of Use FAQs - Workers' Compensation Board
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This is the HTML version of the file http://www.wcb.ny.gov/content/main/hcpp/ImpairmentGuidelines/2017DRAFTImpairmentGuide.pdf.
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How to fill out scheduled loss of use

How to fill out scheduled loss of use
01
Begin by gathering all necessary documents and information related to your injury, such as medical reports, doctor's recommendations, and any other relevant documentation.
02
Determine the extent of your impairment and the specific body part(s) affected.
03
Consult with a workers' compensation attorney or your employer's insurance provider to understand the process and requirements for filing the scheduled loss of use claim.
04
Complete the necessary claim forms, ensuring that all sections are filled out accurately and completely.
05
Attach any supporting documentation or medical reports that validate your impairment and the estimated loss of function.
06
Submit the scheduled loss of use claim and all accompanying documents to the appropriate workers' compensation office or insurance provider.
07
Await a response from the workers' compensation board or insurance provider regarding the acceptance of your scheduled loss of use claim.
08
If your claim is approved, follow any further instructions provided and navigate the settlement or compensation process accordingly.
09
If your claim is denied, consult with your attorney to explore your options for appeal or alternative courses of action.
Who needs scheduled loss of use?
01
Scheduled loss of use is typically needed by individuals who have sustained a permanent impairment or loss of function in a specific body part as a result of a work-related injury.
02
Workers who are covered under workers' compensation insurance and have experienced a permanent impairment may be eligible to file a scheduled loss of use claim.
03
Employers and insurance providers may also require scheduled loss of use documentation to assess the extent of a worker's impairment and determine appropriate compensation.
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What is scheduled loss of use?
Scheduled loss of use is a benefit provided under workers' compensation laws for permanent impairment resulting from a work-related injury.
Who is required to file scheduled loss of use?
The injured employee or their representative is required to file scheduled loss of use.
How to fill out scheduled loss of use?
Scheduled loss of use forms are typically filled out by the treating physician, and may require additional supporting documentation.
What is the purpose of scheduled loss of use?
The purpose of scheduled loss of use is to compensate the injured employee for the permanent impairment they have sustained due to a work-related injury.
What information must be reported on scheduled loss of use?
Information such as the nature of the injury, level of impairment, and any relevant medical documentation must be reported on scheduled loss of use.
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