North Dakota § 65-05-02 Form in which claim must be filed

North Dakota Statutes

§ 65-05-02 — Form in which claim must be filed

North Dakota·Title 65 Workforce Safety and Insurance·Ch. 65-05 Claims and Compensation

Every claim must be made on forms to be furnished by the organization and must contain
all the information required by it. Each claim must be signed by the person entitled to
compensation or by the person acting on that person's behalf and, except in case of death,
must be accompanied by a certificate of the employee's doctor stating that the employee was
physically examined, stating the nature of the injury and the nature and probable extent of the
disability. For any reasonable cause shown, the organization may waive the provisions of this
section.

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Every claim must be made on forms to be furnished by the organization and must contain
all the information required by it. Each claim must be signed by the person entitled to
compensation or by the person acting on that person's behalf and, except in case of death,
must be accompanied by a certificate of the employee's doctor stating that the employee was
physically examined, stating the nature of the injury and the nature and probable extent of the
disability. For any reasonable cause shown, the organization may waive the provisions of this
section.

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