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BEFORE THE MISSISSIPPI WORKERS\' COMPENSATION COMMISSIONCLAIMANTV. NO.EMPLOYERANDCARRIERNOTICE OF CONTROVERSIONComes now the employer/carrier, by and through counsel, and file this their Notice of
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How to fill out notice of controversion

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How to fill out notice of controversion

01
To fill out a notice of controversion, follow these steps:
02
Obtain the appropriate notice of controversion form from the relevant authority.
03
Fill in the details of the claimant, including their name, address, and contact information.
04
Provide the date and nature of the injury or illness for which the claim is being made.
05
Describe the reasons for controverting the claim, including any relevant evidence or documentation.
06
Include the name and contact information of the employer or insurance company filing the controversion.
07
Sign and date the notice of controversion.
08
Submit the completed form to the appropriate authority within the specified time frame.
09
Keep a copy of the notice of controversion for your records.

Who needs notice of controversion?

01
The notice of controversion is needed by employers or insurance companies who wish to dispute a workers' compensation claim filed by an employee.

What is Notice of Controversion - Mississippi Form?

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A notice of controversion is a formal document filed by an employer or insurance carrier to dispute a worker's compensation claim, indicating that the employer is contesting the claim's validity.
The employer or the insurance carrier is required to file a notice of controversion when they dispute a worker's compensation claim.
To fill out a notice of controversion, provide all necessary information about the claim, including the claim number, details of the dispute, and any supporting evidence. Follow the specific format and guidelines required by the jurisdiction.
The purpose of a notice of controversion is to formally notify the claimant and the appropriate authorities that the employer or insurer does not accept the claim and to outline the reasons for disputing it.
The notice of controversion must include information such as the claimant's details, claim number, reasons for disputing the claim, and any relevant facts or evidence that support the dispute.
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