Question: ter receiving the 1 4 % permanency award for his back injury, Howard decided not to appeal the award. It is now 2 0 1

ter receiving the

14 %

permanency award for his back injury, Howard decided not to appeal the award.

It is now

2019,

and Howard has again consulted with Karver about his case. Howard reported that his back injury has worsened, necessitating surgery and more physical therapy. His doctor has now given him a higher rating of

40 %

permanency for his back injury.

Karver wants to re

-

open the case to request additional permanent partial disability.

She has tasked you with completing the re

-

opening form.

Instructions:

Print and complete the form to be submitted to the Workers

Compensation Commission for approval.

Scan the completed form and post in the Assignment folder. If you have problems scanning the document, please contact the Professor.

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