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.
Q: What is Form MN EQ05?
A: Form MN EQ05 is the Employee's Request for Administrative Conference on Discontinuance of Workers' Compensation Benefits in Minnesota.
Q: What is the purpose of Form MN EQ05?
A: The purpose of Form MN EQ05 is to request an administrative conference regarding the discontinuance of workers' compensation benefits.
Q: Who can use Form MN EQ05?
A: Employees in Minnesota who have had their workers' compensation benefits discontinued can use Form MN EQ05.
Q: Is there a fee to file Form MN EQ05?
A: No, there is no fee to file Form MN EQ05.
Q: What should I include in Form MN EQ05?
A: You should include your personal information, details about your workers' compensation claim, reasons for requesting the conference, and any supporting documents.
Q: What happens after I submit Form MN EQ05?
A: After you submit Form MN EQ05, the department will schedule an administrative conference to review your case.
Q: Can I have representation at the administrative conference?
A: Yes, you have the right to have representation at the administrative conference.
Q: What if I need assistance filling out Form MN EQ05?
A: If you need assistance filling out Form MN EQ05, you can contact the Minnesota Department of Labor and Industry for help.
Form Details:
Download a fillable version of Form MN EQ05 by clicking the link below or browse more documents and templates provided by the Minnesota Department of Labor and Industry.