Which of the following must be established to qualify for benefits in a workers' compensation claim?

• A. Proof of employment status
• B. Proof of the employer's negligence
• C. Proof of injury occurring during work hours
• D. Proof of medical treatment received

Answer: (C)

To qualify for benefits in a workers' compensation claim, it is essential to establish that the injury occurred during work hours. This requirement ensures that the injury is directly linked to job responsibilities and activities. Workers’ compensation is designed to provide financial support for employees who sustain injuries while performing their job duties, regardless of fault. Establishing the occurrence of the injury during work hours confirms that it falls under the parameters of work-related incidents, which is fundamental to accessing benefits.

While proof of employment status is important for verifying the individual’s eligibility for workers' compensation, simply being employed does not guarantee that an injury occurred in the scope of employment. The employer's negligence is not a requirement in these cases, as workers' compensation operates under a no-fault system where benefits are provided regardless of fault. Additionally, while proof of medical treatment may help substantiate the claim and the extent of the injury, it is not a mandatory requirement for establishing the initial eligibility for benefits. Therefore, proving that the injury occurred during work hours is the critical factor that must be satisfied to qualify for compensation.