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C16: 1204APPLICATION FOR A GRANT FROM THE GENERAL TRUST FUND This form should be completed on occasions of work related injury, nonwork related injury, or serious illness by current Licensees of New

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How to fill out second injury fund

01

Obtain the necessary forms from the state's workers' compensation board.

02

Fill out the forms with accurate information about the employee's previous injuries and current injury.

03

Include any medical records or documentation that supports the employee's claim for second injury fund benefits.

04

Submit the completed forms and supporting documents to the state's workers' compensation board for review and approval.

Who needs second injury fund?

01

Employees who have pre-existing injuries or conditions that are aggravated or worsened by a work-related injury.

02

Employers who want to protect themselves from additional liability for workers with pre-existing injuries.

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What is second injury fund?

The Second Injury Fund is a program designed to provide additional compensation to employees who have pre-existing disabilities that are aggravated or exacerbated by a work-related injury.

Who is required to file second injury fund?

Employers are required to file the Second Injury Fund in certain states as part of their workers' compensation obligations.

How to fill out second injury fund?

To fill out the Second Injury Fund, employers must provide information about the employee's pre-existing condition and the work-related injury that exacerbated it.

What is the purpose of second injury fund?

The purpose of the Second Injury Fund is to encourage employers to hire individuals with pre-existing disabilities by providing additional compensation in case of a work-related injury.

What information must be reported on second injury fund?

Employers must report information about the pre-existing disability, the work-related injury, and any additional compensation provided by the Second Injury Fund.

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