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Just hang onto the Form 19. The Form 19 is the acknowledgement from your employer and/or their insurance company that you’ve reported a claim. If you haven’t set up a file at home for all your workers comp stuff, now is a good time to do so. If you haven’t received a Form 60 or a Form 63, follow up with your employer or the adjuster and ask for one.

A Form 18 is the form you use to formally open a file at the Industrial Commission. Just because your employer or the adjuster is sending you to a doctor doesn’t mean they’ve accepted the claim. And it doesn’t mean you have a claim on file with the Industrial Commission. More often than you’d think an injured worker reports his claim to his employer, gets some medical treatment, and returns to work. After a while the injury is acting up and bothering him but when he tries to go back to the doctor his adjuster denies the claim saying that a Form 18 was not timely filed with the Industrial Commission. The fact that everyone “knew” about the claim doesn’t always make a difference. The Industrial Commission needs that Form 18. This is the only irrefutable way to have a claim established.

Here’s a great “lawyer answer”… it depends. What we worry about is when an employer tries to avoid telling their workers’ compensation carrier about a claim. It’s sort of like getting into a fender bender in a parking lot. You may be tempted to pay the other guy $500 to get his car fixed and keep everyone’s insurance company out of it. While that works with dents on fenders it’s not so clear that it works with internal injuries on workers.

If it gets you medical treatment more quickly and efficiently than waiting around for an adjuster we’re all in favor of putting the bill on health insurance. But if your boss isn’t reporting the claim to the adjuster this could be a big problem. We’ve seen it happen dozens of times: when the doctor takes you out of work you’ve got no income coming in. You chase down a workers’ compensation adjuster who in turn chases down your employer and asks why this wasn’t immediately turned in for handling. At that point your boss can admit he tried to handle it in house. Or he can blame you for everything.

Sadly, we’ve seen a lot of injured workers get the short end of a stick just because they tried to help the company out. You really need to think this through carefully. Our rule of thumb is that it is usually fine if it speeds up treatment and it’s your idea. We’re less thrilled by it when the employer is telling you to do it right off the bat.

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