Form D-6 Injured Employee's Request for Compensation - Nevada

Form D-6 Injured Employee's Request for Compensation - Nevada

What Is Form D-6?

This is a legal form that was released by the Nevada Department of Business and Industry - a government authority operating within Nevada. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form D-6?
A: Form D-6 is the Injured Employee's Request for Compensation form in Nevada.

Q: Who should use Form D-6?
A: Form D-6 should be used by an employee who has been injured and is seeking compensation.

Q: What is the purpose of Form D-6?
A: The purpose of Form D-6 is to formally request compensation for an injury.

Q: What information is required on Form D-6?
A: Form D-6 requires information such as the employee's personal details, description of the injury, and details of medical treatment.

Q: Are there any deadlines for submitting Form D-6?
A: Yes, there are deadlines for submitting Form D-6. It must be submitted within 90 days of the injury or the date when the employee knew or should have known about the injury.

Q: What happens after submitting Form D-6?
A: After submitting Form D-6, the employer's workers' compensation insurer will review the claim and make a determination on whether to approve or deny the compensation.

Q: What should I do if my claim is denied?
A: If your claim is denied, you have the right to appeal the decision.

Q: Can I get legal representation for my workers' compensation claim?
A: Yes, you have the right to hire an attorney to represent you in your workers' compensation claim if desired.

Q: Is there a fee for filing Form D-6?
A: No, there is no fee for filing Form D-6.

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Form Details:

  • Released on July 1, 1999;
  • The latest edition provided by the Nevada Department of Business and Industry;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form D-6 by clicking the link below or browse more documents and templates provided by the Nevada Department of Business and Industry.

Download Form D-6 Injured Employee's Request for Compensation - Nevada

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