Form D-10(A) Election of Lump Sum Payment of Compensation - Nevada

Form D-10(A) Election of Lump Sum Payment of Compensation - Nevada

What Is Form D-10(A)?

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-10(A)?
A: Form D-10(A) is a form used in Nevada for the election of lump sum payment of compensation.

Q: What is the purpose of Form D-10(A)?
A: The purpose of Form D-10(A) is to provide an option for individuals to receive their workers' compensation benefits in a lump sum payment.

Q: Who uses Form D-10(A)?
A: Form D-10(A) is used by individuals who are eligible for workers' compensation benefits in Nevada.

Q: How do I fill out Form D-10(A)?
A: Form D-10(A) must be completed by providing personal information, details about the injury or illness, and the election of lump sum payment.

Q: Are there any requirements for filing Form D-10(A)?
A: Yes, there are certain requirements that must be met, such as the completion of a hearing, approval by the insurer, and a final decision on the claim.

ADVERTISEMENT

Form Details:

  • Released on August 1, 2021;
  • 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-10(A) by clicking the link below or browse more documents and templates provided by the Nevada Department of Business and Industry.

Download Form D-10(A) Election of Lump Sum Payment of Compensation - Nevada

4.6 of 5 (9 votes)
  • Form D-10(A) Election of Lump Sum Payment of Compensation - Nevada

    1

  • Form D-10(A) Election of Lump Sum Payment of Compensation - Nevada, Page 2

    2

  • Form D-10(A) Election of Lump Sum Payment of Compensation - Nevada, Page 1
  • Form D-10(A) Election of Lump Sum Payment of Compensation - Nevada, Page 2
Prev 1 2 Next
ADVERTISEMENT

Related Documents