Form WC-101I Notice of Motion for Temporary and / or Medical Benefits - New Jersey

What Is Form WC-101I?

This is a legal form that was released by the New Jersey Department of Labor & Workforce Development - a government authority operating within New Jersey. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form WC-101I?
A: Form WC-101I is the Notice of Motion for Temporary and/or Medical Benefits in New Jersey.

Q: What is the purpose of Form WC-101I?
A: The purpose of Form WC-101I is to request temporary and/or medical benefits in a workers' compensation case in New Jersey.

Q: Who needs to fill out Form WC-101I?
A: Form WC-101I needs to be filled out by an injured worker or their representative to request temporary and/or medical benefits.

Q: What information is required on Form WC-101I?
A: Form WC-101I requires information such as the injured worker's name, employer's name, description of injury, medical treatment details, and requested benefits.

Q: Are there any fees associated with filing Form WC-101I?
A: No, there are no fees associated with filing Form WC-101I.

Q: What should I do after filling out Form WC-101I?
A: After filling out Form WC-101I, you should submit it to the New Jersey Division of Workers' Compensation and provide copies to all parties involved in the case.