The description section should list the dates for which compensation is requested and the amount granted. Please attach documentation of regular wages to the first such disability claim for any injured member and secure the approval of the local board of trustees. If an injured member sustains a permanent partial disability as a result of an accident, she or he may contact the State Board for an examination to determine the extent of disability. A permanent partial disability settlement will be offered according to the report of an independent examining physician or panel in accordance with tables adopted by the Department of Labor and Industries. The State Board will reimburse for mileage traveled for treatment outside the members home area.
Reimbursement is accomplished by completion of an invoice voucher payable to the member.
Please include dates of travel, destination and miles traveled. Bills for services will be used to document this claim. The State Board should be contacted immediately so that the claim can be processed as quickly as possible.