What is a “180 Day Extension” form?

What is a “180 Day Extension” Form?

I’ve probably received more calls from people on worker’s compensation about this one form than on any other question. Remember one thing about this form: you are NOT required to sign it, and signing the form does NOT guarantee the insurer will keep paying you for another 180 days.

The law permits an insurer to send you this confusing form, and to ask you to sign it. But the only purpose of this form is to extend the time where the insurer accepts no legal liability for your claim for another 180 days. This does not guarantee further payment of your compensation checks. It is NOT a promise to extend the payment of your compensation, and you are NOT legally required to sign the form. If you are asked to sign this form, seek legal advice.

  • If an insurer pays you for more than 180 days, it legally accepts your case. Then, unless you agree to let them, the insurer would need to get the approval of a judge at the Department of Industrial Accidents to change or stop your payments.
  • You are not required to sign a 180 day extension form in order to keep getting benefits.
  • Remember: if an insurance adjuster asks you to sign the form “so we can keep paying you for another 180 days” this isn’t the whole truth.
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