- Affirmative ElectionFile .pdf (24.3 Kbytes)
- Annual Expenditure ReportFile .pdf (191.3 Kbytes)
- Application To W.c. Judge (just The Form)File .pdf (16.9 Kbytes)
- Application To W.c. Judge PacketFile .pdf (286.5 Kbytes)
- Booklet A1, Workers’ Compensation Quick FactsFile .pdf (148.6 Kbytes)
- Booklet A2, Setting Up A Workers’ Compensation ProgramFile .pdf (214.8 Kbytes)
- Booklet A3, Workers’ Compensation Insurance CoverageFile .pdf (167.9 Kbytes)
- Booklet A5, Workers’ Compensation Personnel Assessment FeeFile .pdf (361 Kbytes)
- Booklet B1, What To Do After An AccidentFile .pdf (214.3 Kbytes)
- Booklet B2, Indemnity Pay Issues For Serious Or Long Term InjuriesFile .pdf (173.4 Kbytes)
- Booklet B3, Going Back To WorkFile .pdf (125.8 Kbytes)
- Booklet B5, Improper Practices By Worker Or EmployerFile .pdf (88.3 Kbytes)
- Complaint Form PacketFile .pdf (40.9 Kbytes)
- Disagree With Hcp ChoiceFile .pdf (5.6 Kbytes)
- Disqualification Of W.c. JudgeFile .pdf (8.3 Kbytes)
- Edi GuideFile .pdf (8.5 Mbytes)
- Election To Accept: For Employers Who Are Not Required By Law To Have Coverage, But Wish To Do So Anyway (such As Non-construction Employers With Fewer Than Three Employees).File .pdf (73.8 Kbytes)
- Employer’s First Report Of InjuryFile .pdf (28.1 Kbytes)
- Hcp QuestionnaireFile .pdf (98.6 Kbytes)
- Limited Liability Company Affirmative ElectionFile .pdf (24.4 Kbytes)
- Lump Sum PetitionFile .pdf (18.1 Kbytes)
- Notice Of Benefit Payment (subsequent Report)File .pdf (140.2 Kbytes)
- Notice Of Change Of Health Care Provider PacketFile .pdf (10 Kbytes)
- Phone Numbers For Clerk Of The CourtFile .pdf (60.5 Kbytes)
- Proof Of Coverage ProfileFile .pdf (28.5 Kbytes)