PJC General Negligence 2022

W ORKERS ’ C OMPENSATION —L IFETIME I NCOME B ENEFITS

PJC 25.5

PJC 25.5

Spinal Injury Resulting in Paralysis—Question

PJC 25.5A Spinal Injury Resulting in Paralysis—Question—When Claimant Appeals

QUESTION ______ Did Paul Payne suffer an injury to the spine that is a producing cause of per manent and complete paralysis of his [ insert first applicable body part ]? [Insert PJC 25.1A definition of “producing cause.”] Answer “Yes” or “No.” Answer: _______________ QUESTION ______ Did Paul Payne suffer an injury to the spine that is a producing cause of per manent and complete paralysis of his [ insert second applicable body part ]? [Insert PJC 25.1A definition of “producing cause.”] Answer “Yes” or “No.” Answer: _______________ QUESTION ______ Did Paul Payne not suffer an injury to the spine that is a producing cause of permanent and complete paralysis of his [ insert first applicable body part ]? [Insert PJC 25.1A definition of “producing cause.”] Answer “Yes” or “No.” Answer: _______________ PJC 25.5B Spinal Injury Resulting in Paralysis—Question—When Carrier Appeals

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