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.
Q: What is Form WC-170I?
A: Form WC-170I is an Answering Statement used in New Jersey to respond to a Motion for Temporary and/or Medical Benefits in a workers' compensation case.
Q: When is Form WC-170I used?
A: Form WC-170I is used when an injured worker needs to provide a written response to a Motion for Temporary and/or Medical Benefits filed by the employer or their insurance company.
Q: What does Form WC-170I include?
A: Form WC-170I includes the injured worker's personal information, details about the injury, medical treatment received, and any other relevant facts to support or refute the request for temporary and/or medical benefits.
Q: Do I need to fill out Form WC-170I?
A: If you receive a Motion for Temporary and/or Medical Benefits, it is important to fill out Form WC-170I and provide a timely response to protect your rights and interests in the workers' compensation case.
Q: Is there a deadline to submit Form WC-170I?
A: Yes, there is a deadline to submit Form WC-170I. It is crucial to check the specific deadlines set by the court or the rules of the New Jersey Division of Workers' Compensation and submit the form within the required timeframe.
Q: Can I seek legal advice when completing Form WC-170I?
A: Yes, it is recommended to seek legal advice when completing Form WC-170I, especially if you are unfamiliar with the workers' compensation process or have any concerns about your rights or entitlement to temporary and/or medical benefits.
Form Details:
Download a fillable version of Form WC-170I by clicking the link below or browse more documents and templates provided by the New Jersey Department of Labor & Workforce Development.