Okla. Admin. Code § 302:10-1-4

Current through Vol. 42, No. 6, December 2, 2024

Section 302:10-1-4 - Claim procedures

(a) The claim shall be in writing on a form provided by the Board for such purpose or in writing by the claimant and shall contain the following information:

(1) Name of claimant, Social Security number, if applicable, and address;

(2) Name of employer and group self-insurance association and claim number of Workers' Compensation claim;

(3) Nature of claim, whether temporary total disability, permanent partial disability, medical expenses, mileage or attorney fees;

(4) A statement of the amount of the claim;

(5) Copies of all pleadings filed in the Workers' Compensation claim; and

(6) Copies of all pleadings filed in District Court in an effort to execute on a judgment of the Workers' Compensation Court, if applicable.

(b) A claim in writing shall be filed with the Board within one year of notice that execution of a judgment by the District Court's order resulting from the certification of workers' compensation award is returned unsatisfied in whole or in part.

Okla. Admin. Code § 302:10-1-4

Added at 10 Ok Reg 3565, eff 7-12-93