Form WC-377I Addendum to Order for Total Disability - New Jersey

Form WC-377I Addendum to Order for Total Disability - New Jersey

What Is Form WC-377I?

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-377I?
A: Form WC-377I is an Addendum to Order for Total Disability in New Jersey.

Q: What is the purpose of Form WC-377I?
A: The purpose of Form WC-377I is to provide additional information or changes to an existing Order for Total Disability.

Q: Who needs to fill out Form WC-377I?
A: Form WC-377I needs to be filled out by the injured worker or their attorney.

Q: What information is required in Form WC-377I?
A: Form WC-377I requires information such as the claimant's name, case number, date of the order, and the details of the additional information or changes.

Q: Is there a fee to submit Form WC-377I?
A: No, there is no fee to submit Form WC-377I.

Q: Are there any specific instructions for completing Form WC-377I?
A: Yes, it is important to carefully read and follow the instructions provided with the form to ensure accurate completion.

Q: What should I do after completing Form WC-377I?
A: After completing Form WC-377I, you should submit it to the New Jersey Division of Workers' Compensation according to the instructions provided.

Q: Is legal representation necessary to complete Form WC-377I?
A: While legal representation is not required, it may be beneficial to consult with an attorney to ensure all necessary information is included in the form.

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Form Details:

  • Released on March 19, 2013;
  • The latest edition provided by the New Jersey Department of Labor & Workforce Development;
  • 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 WC-377I by clicking the link below or browse more documents and templates provided by the New Jersey Department of Labor & Workforce Development.

Download Form WC-377I Addendum to Order for Total Disability - New Jersey

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  • Form WC-377I Addendum to Order for Total Disability - New Jersey, Page 1
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