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Workers’ Compensation Data Fields 28 For IA we will need to complete fields for number of dependents and number of entitled exemptions (Injured Worker screen>Employment) For IA we will also need to complete the “Marial Status” field from drop down (Injured Worker screen>Personal Information) For WI – adjusters are responsible for login to the state website and complete all requested documents For AR, the adjuster needs to inform Susan Chandler immediately after the investigation reveals a hint of disability as the 10-day clock begins. AR1 requirements • The 10 days to report an indemnity claim begin either on the initial date of disability or the date the employer was notified of disability, whichever date is later AR2 requirements th • The first payment is due to the employee by the fifteenth (15 ) day after the notice or death or alleged injury Confidential, Proprietary and Trade Secret Document of NARS and protected by the Florida Uniform Trade Secrets Act, chapter 688, Florida Statutes. No use allowed unless specifically authorized.

Y(Our) Workers' Compensation Guidebook - The NARS Way - Page 71 Y(Our) Workers' Compensation Guidebook - The NARS Way Page 70 Page 72