Monday, March 30, 2020

Workplace Injuries and Worker’s Compensation

  Workplace Injuries and Worker’s Compensation

Edited by Kenneth A. Vercammen, Esq.
      No one plans on being injured in an accident, whether it is a work accident, fall down or other situations. Speak with a personal injury attorney immediately to retain all your rights.
        When the Workers' Compensation Act was passed many years ago it was probably the first true "no fault" law in this State. With some very narrow exceptions, the question of negligence (fault) is not an issue if a worker is hurt on the job. Whether or not the employer is at fault has no impact on the worth of a case.  In worker's comp, employees can bring a claim petition against their employers' worker' comp carrier. 
      However, employees cannot file a formal lawsuit against their employer. Financial recovery is limited by state law in worker's comp cases. If their injury at the work place was caused by negligence of someone who is not your employer or another employee, it is a civil lawsuit in Superior Court. In lawsuits, negligence must be proved against someone other than the employer. More information at http://www.njlaws.com/workerscompensation.html?id=7223
      
    It is the duty of the owner to properly and adequately inspect, maintain and keep the premises free from danger to life, limb and property of persons lawfully and rightfully using same and to warn of any such dangers or hazards thereon. You may be lawfully upon the premises as an employee or business invitee in the exercise of due care on your part. If severely injured, and the negligence was of someone other than your employer, you can retain an attorney to file a lawsuit for damages, together with costs of suit. Injured people in lawsuits can demand trial by jury. Jury trials are not permitted in worker's compensation cases. 
      
Worker's compensation recovery if no negligence by others, but on the job injury
                               Original draft by Julius J. Feinson, Esq.
                                Modified by Kenneth Vercammen, Esq.   
        If a worker is injured on the job, the worker has three basic rights:  (1) the right to medical treatment; (2) the right to receive payment (temporary disability) for lost time; and (3) the right to receive payment for any after-effects of the injury if the after-effects are found to be permanent (partial permanent disability).  If you are injured, you should immediately report the accident. Make sure an accident report is filled out and write down the names of all witnesses.
        When a worker is injured on the job, the employer or the employer's insurance company are obligated to furnish and pay for medical treatment.  However, in New Jersey, the employer has the right to select the doctors who will provide that treatment, since it's the employer or its insurance company who is responsible for payment of medical expenses. It follows that if the worker does not go to the authorized treating doctor, then the employer will generally not be responsible for payment of the medical expenses. 
        When an employee is hurt on the job, the employee is entitled to receive temporary disability benefits of 70% of wages up to an amount set by the State.  For example, the maximum amount for an injury back in 1997 was only $496 per week.  These benefits are payable on a retroactive basis if the employee is out at least seven (7) days and the treating doctor certifies that the employee cannot work. In general, temporary disability benefits will continue to be paid so long as the workers' treating doctor certifies that the employee cannot work.
        When medical treatment is completed and the employee is able to return to work, there may be a basis for payment to the employee of benefits for the after-effects of the injury. This is called partial permanent disability and is based on a schedule, which utilizes a system of assigning value to each part of the body on a scale of 1% to 100%.
        Generally, the issue of partial permanent disability is resolved by filing a claim in the Division of Workers' Compensation.  A lawyer who represents a claimant before the Division of Workers' Compensation may not charge any fee in advance. A Worker’s Compensation Judge who hears the case will set the fee (never more than 20%) and if there is no recovery, an attorney will not be allowed a fee.
        Finally, disposition of a claim in the Division of Workers' Compensation will not always operate to end a claim. There are rights and obligations on the part of both the employer and the employee. Since an employee is not obligated to pay a fee in a workers' compensation case unless awarded by the Court, it would make sense for the employee to immediately consult an attorney to protect his/her rights.
        The employee should also be aware of the fact that there are time limits regarding the reporting of accidents. The safest approach is, of course, to report a work related accident immediately, even if it seems relatively minor at the time. Failure to report an accident can cause delays in receiving temporary disability and other benefits.  
        When you meet with a worker's compensation attorney, the following information will be requested from you:
        1.  Name, address and telephone number.
        2.  Name, address and telephone number of employer.
        3. Name, address and telephone number of any union the client is a member of, along with full details of any union benefits that may have been received or to which the client has a right.  (There may be a union benefit plan, which provides the employee with payments for drugs and medical bills in addition to workers' compensation benefits.)
        4.  The job title the client held when injured, along with the client's educational background and previous employment history.
        5.  The nature of the employer's business.
        6.  Your Social Security number.
        7.  Your sex, age, and marital status at the time of the accident.
        8. The name of the employer's worker's compensation insurance carrier or indication of whether the employer is self-insured.
        9.  The exact details of how you gave notice of the accident to the employer or whether the facts and circumstances are such that the employer must have had knowledge.
        10. The exact place where the accident occurred and the date and time of the occurrence.
        11. A full description in your own handwriting of how the accident occurred or to the exposures if it is an occupational disease case.        
        12.  Your wages or earnings and whether on time or piecework basis, the rate per hour, or the weekly wage.
        13.  The date when you stopped work and the date of return to work.
        14.  A statement of past and present complaints, as well as a description of all body parts affected by the accident. Explain any emotional complaints since the accident to investigate the question of neuro-psychiatric disability.
        15. The compensation paid for temporary or permanent disability if any.
        16.  Full details as to medical aid required and whether it was requested from the employer. If the medical treatment was furnished by the employer, all dates of treatment should be inventoried. If the employer refused to furnish the treatment, indicate in detail all requests made to the employer for treatment, as well as obtaining the names and addresses of all doctors who furnished the treatment.
        17.  Be certain you have the names and addresses of all physicians and hospitals who rendered medical treatment since the accident, including but not limited to the injuries arising from the accident. Attempt to obtain the amount of all physician's bills and prepare a file for paid and unpaid bills.
        If you are receiving medical treatment from a doctor of your choice or if the employer has refused to render medical treatment, the worker’s compensation attorney must give written notification to the employer and its insurance carrier of all the details concerning your injuries and accident and the name and address of the doctor by whom he is being treated or the name and address of the doctor who is going to be treating him. The attorney must clearly indicate in the letter that this is a formal request pursuant to Title 34 for the employer/respondent to furnish medical treatment by the doctor chosen by the petitioner or, alternatively, that the respondent should immediately provide the name and address of a doctor that it wants to treat the petitioner. In Worker's Compensation, the respondent controls the choice of doctor.
        18.  Any Blue Cross, Blue Shield, or major medical plans, which cover you, as well as identification numbers, since it may be possible to obtain payment for medical bills from these plans, if the employer/worker's compensation refuses to make payment. SeeWorkers' Compensation(ICLE 1983).
        If you are injured while working, we recommend you immediately speak with an experienced attorney. 

      The Appellate Division court in Raimo v. Fishcera372 N.J. Super. 448, 859 A. 2d 709 (App. Div. 2004) held contractor's duty of care for persons who come onto a construction site is governed by general negligence principles, which require a contractor to exercise reasonable care to maintain the site in a safe condition for any persons who the contractor may reasonably expect to come onto the site, rather than by the common law doctrine of premises liability, under which the landowner's tort liability is determined by the injured person's classification as a business invitee, licensee, or trespasser. 

WHAT TO TRY TO DO AT THE ACCIDENT SCENE IF INJURED

1. Stop . . . do not leave the scene of the accident.
CALL 911, tell them where the accident occurred and (ask for medical help if needed).
2. Notify the property manager or owner, if possible. Insist they observe where you were injured.
3. Get names and addresses of all witnesses.  
        Witnesses will be a tremendous help to you in any subsequent court action if there is any question of liability involved. Get the names and addresses of as many witnesses as possible. If they refuse to identify themselves, jot down identifying features or the license plate numbers of their automobiles. Do not discuss the accident with the witnesses. Do not give the witnesses' names to anyone but the police, your attorney or yourinsurance company.

4. While waiting for ambulance, write down Accident Information
Date   __     Time __
Location   __       
Weather __
area conditions __

5. Summary of accident __

6. Diagram of accident location

7. Seek medical care. If you have any reason to suspect you were injured in the accident, go to a hospital immediately or see a physician promptly. You'll want it on record that you sought treatment right away, not in a week or so.

8. Write down the name of Security Personnel, Police Officers, Department and Badge Number, Ambulance crew, etc. (or take cell photos).

9. Do not assign or accept blame for the accident.
- The scene of the accident is not the place to determine fault. Discuss  the accident only with the ambulance and medical personnel, your attorney and with representatives of your insurance company. Give the other party only your name and address. 
-  Be cooperative with the police.

10. Have immediate photos taken of accident site. 

11. Call a personal injury attorney immediately, not a real estate attorney.     
Call Kenneth A. Vercammen - Trial Attorney
Attorney At Law      
(732) 572-0500
When you need help the most, we will be ready to help you. 

12. Never give a signed statement to the claims adjuster representing the property owner's insurance company. The same goes for a phone recording.  They may be used against you in court to deny your claim. Speak with your personal injury attorney first.

Conclusion
        We appreciate that this is a great deal of information to absorb.  However, we are certain that our clients appreciate having this information from the outset. Each request and bit of information given here represents an important part in recovering full value for your injury. Therefore, we respectfully request your full cooperation. If you have questions or concerns regarding these instructions, we encourage you to feel free to contact the office at any time.  
        For Legal Matters Call Kenneth Vercammen to schedule an appointment 732-572-0500

Workers’ Compensation EMPLOYEE CLAIM PETITION

                   Please fill out completely and return
    
1. Injured person  name: 

address:

phone cell:

phone work:

phone home:

email

d/o/b:

Soc.. security: 


EMPLOYER
NAME
Worker’s compensation INSURANCE CARRIER 
IF EMPLOYER IS KNOWN BY DIFFERENT NAME, PLEASE INDICATE HERE
Worker’s comp CARRIER CLAIM NUMBER

2a. Date of Accident:
  town, county, state:
day of week
time:
weather
Ground conditions
Location
where coming from & going to
The dangerous conditions that caused the fall
 
2  Description of Accident:



3. INJURIES-
NATURE, EXTENT, DURATION


4. PERMANENT INJURIES  AND PRESENT COMPLAINTS

Please note we only handle cases if there is a permanent injury.

5. HOSPITALS-
 ADDRESS,
DATE OF ADMISSION
DISCHARGE


6- X-RAYS,  TAKEN BY:
 ADDRESS
DIAGNOSTIC TESTS: X-ray, MRI
DATE
RESULTS


7 DOCTOR-NAME
ADDRESS                                         
PHONE
DATES OF TREATMENT:
DATE OF REPORTS:

8. STILL BEING TREATED? MEDICAL PROVIDER-NAME
NATURE OF TREATMENT AND NATURE OF TREATMENT                                       


9. AGGRAVATION OF PRIOR INJURIES BY ACCIDENT, PRIOR DOCTOR 

10. Employer Name:
Address:
Job/Position
Gross/week
Net/week
Time Lost
Total Wages Lost:

Date Stopped Work: ___________
Date Returned to Work: Date Injury Reported: ___________
Injury Reported To Whom: Occupation and Type of Work: ___________
Gross Wages $ ___________
Wage Period: Rate of Temp. Compensation:
$ ___________
Weeks of Temp. Disability paid: ___________
Temporary Disability Paid: $ ___________
Permanent Disability Paid: $ ___________
Employer Furnished Medical Aid: YES NO

Are you Medicare eligible or a Medicare beneficiary? YES NO
Were you eligible for Medicaid benefits at the time of the work injury? YES NO
Did you become eligible for Medicaid benefits after the work injury? YES NO
What other facts are there that you believe important:

11IF RETURN TO WORK:
 Current  Employer Name:
Address:
Job: Gross/week
Net/week

About Kenneth Vercammen, Esq.:  
        Kenneth Vercammen is a trial attorney in Edison, Middlesex County, New Jersey.  He has lectured on traffic and criminal law for the New Jersey State Bar Association, New Jersey Institute for Continuing Legal Education and Middlesex County College. He often lectures for the New Jersey State Bar Association on personal injury, criminal / municipal court law and drunk driving.   He has published 125 articles in national and New Jersey publications on municipal court and litigation topics. He has served as a Special Acting Prosecutor in ten different towns in Central New Jersey and also successfully defended hundreds of individuals facing Municipal Court and Criminal Court charges. 
                      
          In his private practice, he has devoted a substantial portion of his professional time to the preparation and trial of litigated matters.  He has appeared in Courts throughout New Jersey several times each week on many personal injury matters, Criminal and Municipal Court trials,  and contested administrative law hearings.
                      
          Since 1985, his primary concentration has been on litigation matters.  Mr. Vercammen gained other legal experiences as the Confidential Law Clerk to the Court of Appeals of Maryland (Supreme Court),with the Delaware County, PA District Attorney Office handling Probable Cause Hearings,  Middlesex County Probation Dept. as a Probation Officer, and an Executive Assistant to Scranton District Magistrate Thomas Hart, in Scranton, PA.

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