PJC General Negligence 2024

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

PJC 25.2

PJC 25.2

Producing Cause of Total Loss of Use of Two Members— Question

PJC 25.2A Producing Cause of Total Loss of Use of Two Members— Question—When Claimant Appeals QUESTION ______ Is the compensable injury a producing cause of any total loss of use of Paul Payne ’s [ insert first applicable body part ]? [Insert PJC 25.1A definitions of “producing cause” and “total loss of use.”] Answer “Yes” or “No.” Answer: _______________ QUESTION ______ Is the compensable injury a producing cause of any total loss of use of Paul Payne ’s [ insert second applicable body part ]? [Insert PJC 25.1A definitions of “producing cause” and “total loss of use.”] Answer “Yes” or “No.” Answer: _______________ PJC 25.2B Producing Cause of Total Loss of Use of Two Members— Question—When Carrier Appeals QUESTION ______ Is the compensable injury not a producing cause of any total loss of use of Paul Payne ’s [ insert first applicable body part ]? [Insert PJC 25.1A definitions of “producing cause” and “total loss of use.”] Answer “Yes” or “No.” Answer: _______________

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