PJC General Negligence 2024

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

PJC 25.8

PJC 25.8 Burns to the Body—Question PJC 25.8A Burns to the Body—Question—When Claimant Appeals [Use the following for a claim for workers’ compensation benefits based on a compensable injury that occurred on or after June 17, 2001, but before September 1, 2023.] QUESTION ______ Did Paul Payne suffer a compensable injury that is a producing cause of third-degree burns that cover at least 40 percent of his body and require graft ing? [or] Did Paul Payne suffer a compensable injury that is a producing cause of third-degree burns covering the majority of [ both hands ] [ one hand and the face ]? [Insert PJC 25.1A definition of “producing cause.”] Answer “Yes” or “No.” Answer: _______________ [Use the following for a claim for workers’ compensation benefits based on a compensable injury that occurred on or after September 1, 2023.] QUESTION ______ Did Paul Payne suffer a compensable injury that is a producing cause of third-degree burns that cover at least 40 percent of his body and require graft ing? [or] Did Paul Payne suffer a compensable injury that is a producing cause of third-degree burns covering the majority of [ both hands ] [ one hand and one foot ] [ one hand and the face ] [ one foot and the face ]? [Insert PJC 25.1A definition of “producing cause.”]

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