- Agreement Between Employer/employee Choice Of PhysicianFile .pdf (17.1 Kbytes)
- Attending Physicians ReportFile .pdf (10.1 Kbytes)
- Attorney FeesFile .pdf (4.8 Kbytes)
- Benefit Rate TableFile .pdf (13.6 Kbytes)
- Case Management ClosureFile .pdf (17.4 Kbytes)
- Case Management NotificationFile .pdf (6.7 Kbytes)
- Case Manager RegistrationFile .pdf (6.2 Kbytes)
- Certificate Of Insurer (*note: Carriers Are Now Required To File Electronically Through Ncci)File .pdf (5.8 Kbytes)
- Civil Appeal ProceduresFile .pdf (7.3 Kbytes)
- Claims Handling StandardsFile .pdf (14.8 Kbytes)
- Cmur GuidelinesFile .pdf (3.3 Kbytes)
- Corporate Officer Election Not To AcceptFile .pdf (6.7 Kbytes)
- Corporate Officer Withdrawal Of Election Not To AcceptFile .pdf (4.2 Kbytes)
- Deposition FeeFile .pdf (7.6 Kbytes)
- Drug Free WorkplaceFile .pdf (40.6 Kbytes)
- Epilepsy WaiverFile .pdf (6.2 Kbytes)
- Exempt Employers Notice Of AcceptanceFile .pdf (7 Kbytes)
- Exempt Employers Withdrawal Of Notice Of AcceptanceFile .pdf (5.8 Kbytes)
- Filing First Reports Of Accidents With The Division Of Workers` CompensationFile .pdf (35.5 Kbytes)
- Final Medical ReportFile .pdf (7.8 Kbytes)
- Final Report Of PaymentFile .pdf (8.7 Kbytes)
- First Report Of Work InjuryFile .pdf (18.6 Kbytes)
- Form Completion InstructionsFile .pdf (3.3 Kbytes)
- Form Completion InstructionsFile .pdf (4.9 Kbytes)
- General Rules Of The Worker`s Compensation Program Temporary Total Disability Benefits & Medical Care BenefitsFile .pdf (10.1 Kbytes)