Workers Compensation Claim Form Templates

This Form is used for employers in Oklahoma to report the first notice of an employee's injury.

This Form is used for applying for a hearing in Utah regarding an occupational disease claim.

This form is used for reporting employee injuries in the state of Missouri for the purpose of filing a workers' compensation claim.

This type of document, Form C-4A, is used for releasing medical and other information for workers' compensation claims in Nevada.

This document is used for filing a claim for compensation in a death case in New York with Yiddish translation.

This Form is used for filing a claim related to workers' compensation discrimination or retaliation in the state of Oklahoma.

This document is a guide provided by the Information & Assistance Unit in California for filing a workers' compensation claim. It provides step-by-step instructions on how to fill out the claim form, known as Form I&A1.

This form is used for filing a claim for compensation in a death case in New York. It is available in Arabic.

This form is used for employers and employees in Ohio to select a state other than Ohio as the exclusive remedy for workers' compensation claims.

This form is used for Texas employees to request a change of their treating doctor.

This form is used for certifying workers' compensation in the state of Florida. It ensures that employers have the necessary insurance coverage to provide benefits to injured workers.

This document is a checklist that outlines the requirements for workers' compensation in North Carolina. It provides information on the necessary steps and documentation needed to comply with the state's workers' compensation laws.

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