|Recent amendments to the workers’ compensation law require that all insurance carriers and self-insurers designate an individual who can research and respond to issues concerning medical and temporary disability benefits, where no claim petition has been filed or where a claim petition has not been answered. Failure to comply shall result in a fine of $2,500 for each day of noncompliance, payable to the Second Injury Fund.
In order to comply with this law, please complete and submit this form. Completion of this new form is required even if this information was provided to the Division in the past.
Preview the current list of insurance contacts.
|When an employer receives notice about a work-related accident or occupational exposure, they should notify their insurance carrier or third party administrator (TPA) immediately so that a First Report of Injury form can be electronically filed with the State of New Jersey.
Within 26 weeks after the worker has reached maximum medical improvement or has returned to work, a second report, called a Subsequent Report of Injury, must be electronically filed with the State. More information
|In cases of dispute over entitlement to benefits, a worker may file either a formal Claim Petition or an Application for an Informal Hearing with the Division of Workers' Compensation. Issues may include compensability of the claim, the type and extent of medical treatment, and/or the payment of temporary and permanent disability benefits. More Info