Workmans Compensation Claims and Settlements

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Conference
The Conference is an informal proceeding before an administrative judge. The judge learns about the case from presentations by both parties and the submission of documents, such as medical reports, wage statements and affidavits from witnesses. Witnesses are not called, you just tell the judge what the witnesses would have said. Testimony is not sworn. At the Conference you would need to show that you were disabled, the incapacity was work-related, and that any disputed medical bills were for necessary treatment. After the Conference the judge issues an order, either telling the insurer to pay your benefits, or ruling that they are not liable for payments to you.

The Conference Order can be appealed by either party. This appeal must be filed with thisdepartment within 14 days of the issuance of the order. There is a $450 fee to appeal the Conference Order, if your appeal is based on a medical issue. This fee may be waived, if you can prove you cannot afford to pay the fee. If either party does appeal the Conference Order, a formal Hearing before the same judge will be scheduled.

Filing a workers' compensation claim is a complicated and difficult task. If you would like your claim to be reviewed by an attorney, complete the form below for a free evaluation.

Free Conference Consultation

Title:
First Name:	*
Middle Name:
Last Name:	*
Home Phone:	*
Cell Phone:
Work Phone:
Email Address:
Address:	*
City:	*
State, Zip:	* *
What is the best way to reach you? Please provide the best place, time and method for contacting you.

Injured Person Information:

Date of Birth / Age: (ex. mm/dd/yyyy or 54)
Were you injured?	Yes No
If not, who are you inquiring on behalf of?

If you are NOT inquiring on your own behalf,
what is your relationship to the injured person?

Is the person deceased?

Yes No

If deceased, what is the cause of death
as stated on the death certificate:

Date of Death: (ex. mm/dd/yyyy)
Was an autopsy performed?	Yes No
If not deceased, does the injury prevent you or the victim from working?	Yes No

If yes, when did you/victim stop working?
What is the approximate lost wages due to the injury?

Accident / Injury Information:

Date of Accident:	*
City where accident occured:	*
State where accident occured:	*

Please briefly explain the incident that caused the injury:
Who do you believe was at fault in causing the injury, and what do you believe they did wrong?
Describe the injuries in detail:

Do you believe the injuries are permanent?

Yes No

Case Description*
Please explain exactly what happened, trying to state
as thoroughly as possible who you believe was responsible
and why you believe that person was negligent:

Please explain the full extent of the victims injuries:

Comments / Additional Information
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understanding the facts of your case?

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