Workers Compensation Forms and Templates

This form is used for filing a motion in Louisiana to recognize the right to a social security offset.

This Form is used for filing a complaint for an audit in the state of Maine.

This form is used for employers in New Hampshire to report the first injury that has occurred in the workplace.

This form is used for verifying the coverage of workers' compensation and disability insurance in the state of New York.

This form is used for providing medical proof of a change in condition in support of an application to reopen a claim for workers' compensation, volunteer fire fighters' or volunteer ambulance workers' benefits in New York.

This document is used for designating an employer authorized representative in the state of Ohio.

This Form is used for notifying the employer about an occupational disease and filing a claim for compensation.

This form is used for requesting workers' compensation records in the state of Louisiana.

This form is used for filing an amended order in the state of New Jersey.

This form is used for making a decision regarding dismissal of a claim related to the Second Injury Fund in New Jersey.

This form is used for filing an Affidavit of Insurance for Workers' Compensation in South Carolina.

This form is used for reporting the first injury or illness that occurred in the workplace in the state of Louisiana.

This form is used for appealing for special reimbursement consideration in Louisiana.

This form is used for summarizing work-related injuries and illnesses in the state of New York.

This Form is used for recording accidents that occur on a contractor's job site in California. It helps document the details of the accident and any injuries or damages that occurred.

This form is used for reporting the work status of employees who suffered a work-related injury or illness in Colorado and are seeking workers' compensation benefits.

This form is used for applying for a Worker's Compensation Clearance Certificate in the state of Indiana.

This Form is used for employees in Louisiana to authorize the Office of Workers' Compensation Administration (OWCA) to release confidential workers' compensation records.

This type of document provides instructions for reporting the workers' compensation tax and assessment for group self-insurance in Missouri.

This form is used for self-insured employers in Missouri to report their payroll information.

This document is a petition for settlement in the state of Montana. It is used for cases involving personal injury or occupational disease that have been closed on an accepted claim.

This form is used for notifying the contract between a third-party administrator and a self-insurer in New Hampshire.

This form is used for completing a biographical affidavit in New Hampshire. It is required for certain applications and legal purposes.

This form is used for obtaining a court order that approves a settlement agreement and dismisses a case in the state of New Jersey.