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31 sie 2020 · For more information about workers' compensation forms, contact the Workers' Compensation Division Help Desk at helpdesk.dli@state.mn.us, 651-284-5005 (press 3) or 800-342-5354 (press 3). About the forms The forms provided below are fillable PDFs that can be viewed or printed using the free Adobe Acrobat Reader software.
20 mar 2024 · March 20, 2024. Share: The employer should provide a mileage reimbursement form to an employee who has a covered workers’ compensation claim for a work-related injury or illness. The employee uses the form to record mileage to receive reasonable and necessary medical treatment for the covered work-related injury or illness.
You can calculate mileage reimbursement in three simple steps: Select your tax year. Input the number of miles driven for business, charitable, medical, and/or moving purposes. Click on the "Calculate" button to determine the reimbursement amount.
Mileage reimbursement (personal car) Family farm: Annual adjustment per M.S. 176.645 Effective date: Cents per mile Average annual wage: ... 10/1/2013 maximum changed to 102% SAWW Effective date : Percent: Common Minnesota workers' compensation benefit adjustments Effective date Med fee conversion % RBRVS conversion factor Effective date ...
The Workers' Compensation Division oversees and administers the workers' compensation system in Minnesota. We strive to create an environment where injured workers promptly receive benefits and services and where the system operates efficiently and effectively. Injured workers: Get information about how to access your claim online. Work Comp ...
When an injured worker has a compensable work-related injury, the employer and insurer are responsible for paying for any reasonable travel expenses incurred when receiving medical treatment including mileage, co-pays, parking, and, if necessary, lodging and meals. Call Jerry Sisk a MN Work Comp Lawyer today.
