Claimant Details
Full legal name, date of birth, address, phone, and employer at time of injury; accuracy ensures correct identity and benefit routing.
Timely, correctly completed filings preserve an injured worker’s benefits, protect employers from penalties, and ensure the Commission can evaluate medical evidence and liability. Proper documentation reduces delays, avoids forfeitures, and narrows issues for hearing officers.
Knowing which party handles each step helps avoid duplication, missed deadlines, and inconsistent information during claim processing.
Full legal name, date of birth, address, phone, and employer at time of injury; accuracy ensures correct identity and benefit routing.
Employer legal name, FEIN, address, contact for claims, and insurer information so the Commission can route notices and filings properly.
Date, time, location, and a concise description of how the injury occurred, including body parts affected and immediate treatment received.
Provider names, dates of treatment, diagnoses, and objective findings; attach relevant reports, bills, and work status notes for evaluation.
Wage information, average weekly wage calculations, and benefit claims (temporary total, temporary partial, permanent partial) as applicable.
Signed and dated attestation from claimant or representative and employer or insurer confirming accuracy of submitted facts.
| Recipient | Commission intake address or designated inbox for e-filing |
|---|---|
| Authentication | Email with optional SMS code or stronger verification for signers |
| Attachments | Enable PDF and image upload; set maximum file sizes and accepted types |
| Notifications | Configure confirmation emails to claimant, employer, and insurer |
| Retention | Set automatic archival and export options for compliance retention |
Many eSignature platforms integrate with enterprise systems (Salesforce, NetSuite, Microsoft 365, Google Workspace) and support PDF/DOCX uploads; confirm specifics with the Commission and your IT team before automating submissions.
Notify employer and insurer as soon as the injury is known.
Employers must follow state notice procedures for claims and report to their insurer promptly.
Time limits for filing claims vary; consult state law or counsel before delay.
Submit bills and provider reports with the claim to support payment requests.
Deadlines for appeals or requests for rehearing are time-sensitive; track hearing orders carefully.
Employer documents the injury and notifies insurer and claimant.
Claimant or representative files a petition with the Commission including evidence.
Commission or insurer reviews medical records and work status documentation.
If contested, a hearing determines benefits; orders follow the decision.
| Criteria | Electronic | Paper |
|---|---|---|
| Notarization required | sometimes | |
| Processing speed | faster | slower |
| Audit trail | limited | |
| Storage ease | high | lower |
| signNow | DocuSign | Adobe Sign | PandaDoc | HelloSign | |
|---|---|---|---|---|---|
| Starting Price | $8/user/mo | $15/user/mo | $14/user/mo | $19/user/mo | $15/user/mo |
| Free Trial | 7-day trial | Varies | Varies | Varies | Varies |
| Bulk Send | Yes | Yes | Yes | Yes | No |
| Audit Trail | Yes | Yes | Yes | Yes | Yes |
| HIPAA Compliant | Yes | Yes | Yes | No | No |