PDF
Word
This version of the form is not currently in use and is provided for reference only. Download this version of
Form D-9A
for the current year.
Form D-9A Permanent Partial Disability Award Calculation Worksheet - Nevada
What Is Form D-9A?
This is a legal form that was released by the Nevada Department of Business and Industry - a government authority operating within Nevada. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form D-9A?
A: Form D-9A is a worksheet used to calculate Permanent Partial Disability (PPD) awards in Nevada.
Q: What is a Permanent Partial Disability award?
A: A Permanent Partial Disability (PPD) award is compensation given to an injured worker in Nevada for permanent impairment that affects their ability to earn a living.
Q: Who uses Form D-9A in Nevada?
A: Form D-9A is used by insurance carriers, self-insured employers, and third-party administrators in Nevada to calculate PPD awards.
Q: What information is needed to complete Form D-9A?
A: To complete Form D-9A, you will need to provide details about the injured worker, the nature of the injury, medical treatment received, and any applicable impairment ratings.
Q: Are there any instructions or guidelines for completing Form D-9A?
A: Yes, the Nevada Department of Administration provides instructions and guidelines on how to complete Form D-9A.
Q: How long does it take to process a PPD claim in Nevada?
A: The processing time for a PPD claim in Nevada can vary, but it typically takes several weeks to months to complete the evaluation and award calculation.
Q: What happens after Form D-9A is submitted?
A: After Form D-9A is submitted, the insurance carrier or employer will review the information and calculate the PPD award. The injured worker will then receive a notification of the award determination.
Q: Can I appeal the PPD award calculation?
A: Yes, if you disagree with the PPD award calculation, you have the right to appeal the decision through the Nevada workers' compensation system.
Form Details:
- Released on December 1, 2016;
- The latest edition provided by the Nevada Department of Business 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 printable version of Form D-9A by clicking the link below or browse more documents and templates provided by the Nevada Department of Business and Industry.
