Guide to Benefits and Claim Filing
Under certain conditions, employees injured on the job are entitled to compensation. Learn your rights under Alabama state law and find information on how to file claims.
Claim forms are to be filed by the employer, insurance carrier or third-party administrator.
If you are hurt or injured at work:
- Report any injury immediately to your supervisor, boss or employer.
- Check with your supervisor or employer about which doctor you should see for your work-related injury.
Claim Forms
Waiting Period
In cases of temporary total or partial disability, no compensation is allowed for the first three days after disability, nor in any case, unless the employer has actual knowledge of the injury or is notified within the specified period.
Compensation begins on the fourth day after disability. In the instance the disability lasts for as much as 21 days, compensation for the first three days post-injury should be added to and payable with the first installment due to the employee after the expiration of the 21 days.
Filing a Claim as an Employee
Claims are filed by properly notifying the employer of the accident and the injury and by making an application to the employer for benefits. If the employer declines to accept liability, the employee may call the Workers’ Compensation division and ask to speak to an examiner. The employee also has the right to obtain the services of an attorney to handle the claim in the courts as provided by law.
The Circuit Court judge should fix the fee of the attorney and its manner of payment after hearing the case. Fees of attorneys cannot exceed 15% of the amount of compensation awarded or paid.
Conditions for Benefits
The following conditions must exist to entitle an injured employee to benefits under the Alabama Workers’ Compensation Law.
- The employee must work for a covered employer. Generally, the law covers employers of five or more employees. It does not apply to owner/operator or leased operator of common carriers engaged in interstate commerce, domestic servants, casual employees, farm laborers, U.S. and State government.
- The injury must result from an accident. “Accident” is defined as an unexpected or unforeseen event happening suddenly and violently with or without human fault producing, at the same time, injury to the physical structure of the body or damage to an artificial member of the body by accidental means.
- The accident must arise out of and in the course of employment. There must be a relationship between the employment and the accident, and it must occur within the period of employment, at a place where the employee may reasonably be and while fulfilling the duties of their employment or engaged in something incidental to it.
- Proper notice must be given to the employer. The law requires that notice be given within five days, but in any case, notice must be given within ninety days following the accident. Actual knowledge has been held to be equivalent to statutory notice.
Exceptions
There are a few circumstances which may negate an employee’s claim for benefits.
- When the accident is caused by the willful misconduct of the employee
- When the accident is caused by the act of a third person or fellow employee for personal reasons and not directed against them as an employee or because of employment
- By the employee’s intention to bring about the injury or death of himself or another
- By the employee’s intoxication from alcohol or use of illegal drugs
- By failure or willful refusal to use safety appliances provided by the employer
- By willful refusal or willful neglect of the employee to perform a statutory duty
- By the employee’s willful breach of a reasonable rule or regulation of the employer, of which the employee has knowledge
Hospital, Medical and Surgical Treatment
In addition to weekly compensation benefits, the employer is responsible for paying all reasonably necessary medical care related to a work injury. This includes medical, surgical and chiropractic treatment, medications, medical supplies, crutches, prosthetics and other necessary equipment during the employee’s period of disability.
The employer selects the authorized treating physician at the time of the injury. If the employee is dissatisfied and further treatment is needed, the employee may request a panel of four physicians selected by the employer and choose a second physician from that list.
Note: If an injured employee refuses a reasonable request for examination or declines medical treatment or rehabilitation provided by the employer, compensation benefits may be suspended during the period of refusal.
Weekly Benefits — Injury Claims
Benefits are equal to 66 ⅔% of the employee’s average weekly earnings during the 52 weeks prior to the injury. Benefits cannot exceed the maximum in effect on the date of injury. The State’s Average Weekly Wage is determined under Section 25-5-68.
In no case may weekly benefits be less than the minimum rate in effect at the time of injury, unless the employee’s average weekly earnings were below that amount—in which case, benefits equal 100% of the employee’s average weekly earnings.
Weekly Benefits — Death Claims
- 50% of the employee’s average weekly earnings if there is one dependent
- 66 ⅔% if there are two or more dependents
Death benefits are subject to the maximum and minimum rates in effect on the date of injury. If the employee has no dependents, the employer must pay a one-time lump sum of $7,500 to the employee’s estate within 60 days of death.
Claim Limitations
- Death: 500 weeks
- Permanent: Unlimited
- Permanent Partial Body: 300 weeks
- Temporary Total: Unlimited
- Temporary Partial: 300 weeks
Statute of Limitations
All claims for compensation will be barred unless a verified complaint is filed in the courts within two years from the date of the accident. Where payments of compensation have been made, such complaints must be filed within two years from the date of the last compensation payment.
Note: “Compensation” does not include payments made for hospital, medical and surgical treatments.
Burial Expenses
In the event of death of the injured employee, the employer is responsible for paying an amount, not exceeding $6,500, toward burial expenses. This liability is not reduced by reason of private burial insurance carried by the deceased.
Contact the Workers’ Compensation Division
Business hours: 8:00 a.m. to 4:30 p.m., Monday through Friday.
Call: 334-956-4044 or 1-800-528-5166
Division Contacts
WC Claims Specialist
334-956-4044
Suzanne.Norsworthy@labor.alabama.gov
Director Supervisor
334-956-4026
Steve.Garrett@labor.alabama.gov
Ombudsman Supervisor
334-956-4041
John.H.Lewis@labor.alabama.gov
Medical Supervisor
334-956-4047
Craig.White@labor.alabama.gov
Seminars Coordinator
334-956-4029
Linsey.Kelly@labor.alabama.gov
The State of Alabama Workers’ Compensation Division’s Hours
8:00 a.m.–4:30 p.m. Monday through Friday
Main Telephone Numbers (Including for those injured on the job):
334-956-4044 or 1-800-528-5166
Director
334-956-4041
John.H.Lewis@labor.alabama.gov
Ombudsman Supervisor
334-956-4041
John.H.Lewis@labor.alabama.gov
Medical Supervisor
334-956-4047
Craig.White@labor.alabama.gov
Seminars Coordinator
334-956-4029
Linsey.Kelly@labor.alabama.gov
If you are injured on the job, contact the WC Claims Specialist at 334-956-4044 or email Suzanne.Norsworthy@labor.alabama.gov.
Report suspected fraud: 334-956-4040