Harris Texas online Form 8869 2020-2025

Harris Texas online Form 8869: What You Should Know

Gov;  Texas Risk Management Fax, Fax: Texas Workers' Compensation, In order for all parties to have an opportunity to contest the issue, in accordance with section 6 of the Act, the petition must include all the following: Notice (including an attached notice of the filing) of injury or illness (including medical information and any other information concerning the individual's condition and the circumstances of such injury or illness), written statement by the employer or responsible relative identifying facts showing that the individual's injury or illness required treatment and that an employee of the employer or responsible relative's disability was a contributing factor in the injury or illness, a statement under oath by the employee that the person was employed and that the person was engaged in the same type of work that was the basis of the disability, information with respect to the type and amount of wages paid to the employee during the period in which disability of the individual began or was aggravated or recurred, and notice that the individual was discharged. This claim form should be submitted along with copies of the employee's payslips, payroll records, and other appropriate documentary evidence. The employee may also be required to provide proof of unemployment or underemployment. Payment should be made with a certified check or money order made payable to Harris County. Please note that, because of the nature and seriousness of injury or illness, no claims shall be accepted for the amount of medical expenses incurred by the claimant for medical care and treatment at the time of the filing of a claim for compensation or as a result of any injury or illness sustained or aggravated by the claimant in the course of employment. It is the responsibility of the employer to establish by clear and convincing evidence that the employer was not aware of the injury or illness. No claim may be filed without proof of employment and without a medical doctor's certification. It is the responsibility of the employer to establish by clear and convincing evidence that the employer was not aware of the illness. No claim may be filed without proof of employment.

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