Occupational Injury Templates

This form is used for reporting the first injury in South Dakota.

This Form is used for businesses in Texas to notify the authorities of their election to self-insure for workers' compensation coverage.

This form is used for supervisors to report occupational injuries, illnesses, accidents, or fires. It is an important document for ensuring the safety and well-being of employees.

This document is used for reporting absences from work due to occupational injuries or illnesses.

This form is used for employees in Nevada to report their initial treatment and make a claim for compensation related to a work-related injury or illness.

This form is used for employees and physicians in West Virginia to report occupational injuries or diseases.

This form is used for employers in California to report occupational injuries or illnesses to the relevant authorities.

This Form is used for logging and summarizing occupational injuries, diseases, and illnesses in the Florida Fire Service.

This document is used for reporting a workplace injury in the state of Georgia, United States.

This form is used for reporting and investigating occupational injuries or illnesses that occurred in Sonoma County, California. It helps gather important information about the accident or incident to ensure proper investigation and documentation.

This Form is used for self-insurers in New York to report their payroll for all operations.

This Form is used for employers in New York to report the wages earned by an employee before their injury or illness.