Contact The Law Offices of Timothy Kennedy, PC
Completing this form will give us some good insight about your basic situation. If you prefer, simply fill out the "required" fields so we know how to reach you. There is no consultation fee and no obligation. We look forward to speaking with you about what your rights are and about how we might help you.
Your Phone Number
This information will not be shared or abused.
Date of PA Work Injury
Approximate if necessary
Please describe your current work status:
Working full duty (with no restrictions recognized by doctors)
Working full duty (doctors have restricted, but employer forcing me to work)
Working light duty (doctors have restricted, employer has me working light duty)
Off work due to no light duty (doctors have restricted me, employer has no light duty)
Off work, but disability not yet recognized by any doctor
Other work status -- please explain in box below
Treating with doctors chosen by WHO?
Sent to specific doctors by employer or insurer, NO LIST was given to me
Sent to a doctor from a LIST provided by employer or insurance company
Employer or insurer specifically allowed me to find my own doctor
I chose my own doctor without involving the insurance carrier or employer
I am not yet treating with any doctor for my work-related injury
Have you received any of these DOCUMENTS from your employer's WC insurance company?
None: I have received no documents from the insurance company
Notice of Temporary Compensation, claiming "Medical Only" (no wage loss)
Notice of Temporary Compensation, including wage loss
Notice of Workers' Compensation Denial
Notice Stopping Temporary Compensation
Notice of Compensation Payable (not marked temporary)
Notification of Suspension or Modification
Uncertain: I am not sure if any of these documents was sent to me
Are ANY of the following true of your situation?
My employer has PUSHED ME TO RETURN TO WORK that may be unsafe for me to do, or to work beyond my restrictions, without regard to my condition.
"Company" doctors and "occupational health" providers acted more concerned about KEEPING MY EMPLOYER HAPPY than about providing proper medical care.
I may have long-term injuries, and fear that my EMPLOYER WILL LOOK FOR WAYS TO FIRE ME, as a liability, even if I can return to light duty.
I feel that LESS THAN MY FULL INJURY has been recognized by my employer, its insurance company and their doctors.
My family and/or my career prospects are suffering due to my work injury and I NEED TO PROTECT MY RIGHTS.
I wish to secure the weekly workers' compensation wage loss benefits I am entitled to for my injury and to discuss a possible lump sum settlement.
I would like a free consultation with an experienced PA Workers' Compensation Lawyer from The Law Offices of Timothy Kennedy.
In the box below, indicate any special questions or concerns you have about your workers' compensation claim which you would like us to address when we contact you:
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