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Form MN RS05 Notice of Intention to Claim Reimbursement From the Second Injury Fund - Minnesota
What Is Form MN RS05?
This is a legal form that was released by the Minnesota Department of Labor and Industry - a government authority operating within Minnesota. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the MN RS05 form?
A: The MN RS05 form is the Notice of Intention to Claim Reimbursement From the Second Injury Fund in Minnesota.
Q: What is the Second Injury Fund?
A: The Second Injury Fund is a program in Minnesota that provides compensation to workers who have pre-existing disabilities and then sustain another work-related injury or illness.
Q: Who can file a claim for reimbursement from the Second Injury Fund?
A: Workers who have pre-existing disabilities and sustain a work-related injury or illness can file a claim for reimbursement from the Second Injury Fund.
Q: What is the purpose of filing the MN RS05 form?
A: The purpose of filing the MN RS05 form is to notify the Minnesota Department of Labor and Industry of your intention to claim reimbursement from the Second Injury Fund.
Form Details:
- Released on September 1, 2015;
- The latest edition provided by the Minnesota Department of Labor 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 fillable version of Form MN RS05 by clicking the link below or browse more documents and templates provided by the Minnesota Department of Labor and Industry.
Download Form MN RS05 Notice of Intention to Claim Reimbursement From the Second Injury Fund - Minnesota
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