Yes, unless you want your wage loss benefits to be suspended.
The insurance company/Employer is entitled to find out if you are receiving income or certain benefits while you are on workers comp in Pennsylvania.
It is important that you fill out these forms and return them within 30 days. If you do not, the insurer/employer can suspend your work comp checks until they are returned.
For more info about Pennsylvania Workers Comp and LIBC forms, call experienced Pennsylvania Work Place Injury Attorney Michael W. Cardamone at (267) 651-7945 or email Michael@cardamonelaw.com for a FREE consult 7 days a week.
