Form D-16 Notice of Election for Compensation Benefits Under the Uninsured Employer Statutes - Nevada

Form D-16 Notice of Election for Compensation Benefits Under the Uninsured Employer Statutes - Nevada

What Is Form D-16?

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-16?
A: Form D-16 is a Notice of Election for Compensation Benefits Under the Uninsured Employer Statutes in Nevada.

Q: What does the form do?
A: The form allows injured employees to elect to receive compensation benefits when their employer does not have workers' compensation insurance.

Q: Who can use Form D-16?
A: Form D-16 can be used by employees who have been injured on the job and whose employer does not have workers' compensation insurance.

Q: Are there any deadlines for filing Form D-16?
A: Yes, there are deadlines for filing Form D-16. It must be filed within 90 days of the injury or within 90 days of the date the employee knew or should have known that the employer did not have workers' compensation insurance.

Q: What happens after filing Form D-16?
A: After filing Form D-16, the injured employee may be eligible to receive compensation benefits from the Uninsured Employers' Claim Account.

Q: What if my employer has workers' compensation insurance?
A: If your employer has workers' compensation insurance, you should not use Form D-16. Instead, you should file a claim with your employer's insurance provider.

Q: Who should I contact for more information?
A: For more information, you should contact the Nevada Division of Industrial Relations or consult an attorney familiar with workers' compensation laws in Nevada.

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Form Details:

  • Released on May 1, 2018;
  • 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;

Download a printable version of Form D-16 by clicking the link below or browse more documents and templates provided by the Nevada Department of Business and Industry.

Download Form D-16 Notice of Election for Compensation Benefits Under the Uninsured Employer Statutes - Nevada

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