If you receive Form LIBC-760 while collecting Pennsylvania workers’ comp benefits, do not treat it like routine paperwork. Failing to return this verification form on time can put your wage-loss payments at risk, which may create added stress when you are already recovering from a work injury.
What does Form LIBC-760 ask you to report?
Form LIBC-760 asks about changes involving:
- Your employment
- Self-employment
- Your earnings
- Your physical condition
Your insurer uses this information to verify whether your eligibility for wage-loss benefits has changed.
An insurer may send you this form no more often than once every six months. You must complete it accurately, sign it and return it within 30 days after you receive it.
What happens if you miss the 30-day deadline?
If you do not return the completed form within 30 days, the insurer may suspend your wage-loss benefits. The insurer must provide written notice of the suspension.
If the insurer suspends your benefits, the suspension can continue until it receives your completed LIBC-760. Reinstatement takes effect when the insurer receives the form. You generally cannot recover wage-loss payments for the period when you failed to return it.
What should you do when the form arrives?
Review the form carefully and make sure the information you provide is complete and accurate. Keep a copy for your records and consider keeping proof of when you returned it.
If you already missed the deadline, returning the completed form may affect a suspension based on the missing verification.
Know what to do if your payments stop
Returning Form LIBC-760 on time can prevent a paperwork issue from affecting income you rely on while recovering. Copies of the completed form and proof of when you returned it can help document your response. If your benefits have already been suspended or you are unsure what information to report, a Pennsylvania workers’ compensation attorney can explain the verification requirements and the options available for addressing the suspension.