- 1999 2nd Injury CertificateFile .doc (20.5 Kbytes)
- 1999 2nd Injury RecommendationFile .doc (74 Kbytes)
- 1999 Assessment NoticeFile .doc (34 Kbytes)
- 1999 Assessment Notice - AddendumFile .doc (33.5 Kbytes)
- 2000 2nd Injury CertificateFile .doc (20.5 Kbytes)
- 2000 2nd Injury RecommendationFile .doc (80 Kbytes)
- 2002 Renewal ApplicationFile .doc (41.5 Kbytes)
- 2002 Self Insurance ApplicationFile .doc (41.5 Kbytes)
- 2002 Self-insurance GuidelinesFile .doc (38.5 Kbytes)
- 2nd Injury Fund CertificateFile .doc (21 Kbytes)
- Actuarial Study Of The 2nd Injury FundFile .doc (509 Kbytes)
- Agreement To Compensation - Form 1043File .pdf (40.9 Kbytes)
- Alternative Iv Post-retirement ElectionFile .pdf (27.2 Kbytes)
- Application For Adjustment Of Claim - Form 29109File .pdf (31.7 Kbytes)
- Application For Alien Labor Certification (form Eta750 - Part A)File .pdf (17.8 Kbytes)
- Application For Alien Labor Certification (form Eta750 - Part B)File .pdf (14.1 Kbytes)
- Application For Direct DepositFile .pdf (20 Kbytes)
- Application For Voluntary WithdrawalFile .pdf (186.4 Kbytes)
- Attending Physician's StatementFile .pdf (16.2 Kbytes)
- Blank New Hire Reporting FormFile .pdf (395.3 Kbytes)
- Calculator For Retirement BenefitsFile .pdf (20 Kbytes)
- Certificate Of Excess InsuranceFile .doc (21.5 Kbytes)
- Certification By Employer Of Deceased MemberFile .pdf (22.7 Kbytes)
- Chapter 1. Workers` Compensation BoardFile .pdf (42.2 Kbytes)
- Chapter 10. Ban On Employer Waiver Of LiabilityFile .pdf (33 Kbytes)
- Chapter 11. Residual Asbestos Injury FundFile .pdf (41.1 Kbytes)
- Chapter 12. Vocational RehabilitationFile .pdf (35.4 Kbytes)
- Chapter 2. Workers` Compensation: Application, Rights, & RemediesFile .pdf (100.4 Kbytes)
- Chapter 3. Workers` Compensation: Notice Of Injury; Treatment; Compensation Schedule; PaymentsFile .pdf (207.8 Kbytes)
- Chapter 4. Workers` Compensation: Administration & ProceduresFile .pdf (69.2 Kbytes)
- Chapter 5. Workers` Compensation: Insurance RequirementsFile .pdf (61.3 Kbytes)
- Chapter 6. Workers` Compensation: Miscellaneous ProvisionsFile .pdf (58.9 Kbytes)
- Chapter 7. Workers` Occupational Diseases CompensationFile .pdf (296.8 Kbytes)
- Chapter 8. Representation Before Workers` Compensation BoardFile .pdf (30.6 Kbytes)
- Chapter 9. Employer LiabilityFile .pdf (50.6 Kbytes)
- Claimant HandbookFile .pdf (2.5 Mbytes)
- Claimant VoucherFile .pdf (115 Kbytes)
- Compensation Table - Multiple DigitsFile .doc (23 Kbytes)
- Death Report FormFile .pdf (66 Kbytes)
- Employer's Contribution Adjustment Report (form 44954)File .pdf (9.1 Kbytes)
- Enrollment Form For New MembersFile .pdf (75.6 Kbytes)
- Estimate InformationFile .pdf (19.1 Kbytes)
- Instructions For Petitions To Prohibit Workplace ViolenceFile .pdf (71.8 Kbytes)
- Intention To Employ/a-1 - State Form 896File .pdf (25.6 Kbytes)
- Intention To Employ/a1File .pdf (25.6 Kbytes)
- Legislative ChangesExternal Link