About Pennsylvania Workers’ Compensation Forms

After suffering a work-related injury, an injured employee must meet mandatory requirements to be deemed eligible for workers’ compensation benefits. Included in these requirements is the use of certain forms for providing information such as medical reports, as well as applications, authorizations, and agreements for various actions and events.

A First Report of Injury (FROI) electronic data interchange or Web portal transaction is required to establish a claim in the Workers’ Compensation Automation and Integration System, also known as WCAIS. Any forms received by the Bureau of Workers’ Compensation (BWB) prior to submission of this mandatory initial FROI transaction cannot be uploaded into WCAIS since no claim has already been established in the system to which the form can be filed or attached.

For certain actions, submission of the EDI transactions alone will not satisfy the filing requirements under the Pennsylvania Workers’ Compensation Act. Thus, for these actions, there are requirements that certain forms be submitted to the BWB. These include compensation and settlement agreements for disability, permanent injury or death.

In addition to the EDI transaction, certain forms must be sent to the injured worker and filed with the bureau. These include wage statements and other notices regarding benefits and whether they are payable or denied. Written notice to the injured worker has not changed and is still required by Pennsylvania law.

A mistake occurring during the application process may delay or prevent the allowance of an injured worker’s claim. Powell Law is familiar with the entire catalog of forms used by the Pennsylvania Bureau of Workers’ Compensation. Powell Law understands the procedures and requirements for submitting and filing the necessary forms required in a workers’ compensation matter. For each form required for filing with the BWB in a workers’ compensation matter, Powell Law will collect and review any relevant information provided, then organize and list it accurately and completely, double-checking it prior to submission to ensure that all requirements have been satisfied. If you have been injured at work or have any questions about workers’ compensation, call Powell Law as soon as possible to consult with an experienced Pennsylvania workers’ compensation attorney.

Don’t lose your workers’ compensation benefits! Our legislature created the workers’ compensation system to benefit workers injured in the workplace. If you have applied for workers’ compensation benefits and have any questions about your claim and any action that may affect the success of your application for benefits, contact Powell Law today to consult with an experienced Pennsylvania workers’ compensation attorney. Our decades of experience make us the clear choice for representation in workers’ compensation cases in the Scranton/Wilkes-Barre and surrounding areas. We effectively help our clients throughout the entire workers’ compensation claims process. Contact Powell Law at (570) 961-0777. The consultation is FREE!


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