- Annual Report Of Workers Compensation Costs {WC-1000}
- Application For Directory Of Safety Services
- Application To Employ Minors Under Age 18 {PR1021}
- Apprenticeship Division Apprentice Registration Form
- Authorization Agreement For Electronic Funds Transfer (EFT) Unemployment Tax Payments
- Benefit Charge Protest (Application To Review Benefit Charges)
- Cost Containment Meeting Application {WC-1021}
- Disputed Claim For Compensation {WC-1008}
- Disputed Claim For Medical Treatment {WC-1009}
- Doctor Choice Form {WC-1121}
- Electronic Funds Transfer Enrollment Form
- Employee Authorization To Release Confidential WC Records {WC-1151}
- Employee Certificate Of Compliance {WC-1025.EE}
- Employees Consent To Coverage Under Employment Security Law {ES321-RC2}
- Employees Monthly Report Of Earnings {WC-1020}
- Employees Quarterly Report Of Earnings {WC-1026}
- Employer Authorization Of Designated Representative-Power Of Attorney (Tax Liability)
- Employer Certificate Of Compliance {WC-1025.ER}
- Employers Application For The Privilege Of Paying Compensation As Self Insurer {WC 2005}
- Employers Request To Cover Multi-State Workers Under Employment Security Law {ES319 RC-1}
- First Report Of Injury Or Illness {IA-1Form}
- Indemnity And Guaranty Agreement
- Irrevocable Letter Of Credit
- Motion For Recognition Of Right To Social Security Offset {WC-1005A}
- Multiple Worksite Report {BLS 3020}
- No Employees Affidavit (For Certificate Of Clearance) {ES-278}
- Notice Of Claim Against Second Injury Fund {SIB-A}
- Notice Of Payment Modification Suspension Termination Or Controversion Of Compensation Of Medical Benefits {WC-1002}
- Order Recognizing Right To Social Security Offset {WC-1005B}
- Registration Form Professional Employer Organization (Surety Bond)
- Request For Compromise Or Lump Sum Settlement {WC-1011}
- Request For Duplicate Documents (Unemployment Insurance) {LWC RDUI}
- Request For Independent Medical Examination {WC 1015}
- Request For Recertification
- Request For Social Security Benefits Information {WC-1004}
- Request For Waiver Of Payment Of Advance Cost Facts Concerning The Employee
- Request Of Authorization Carrier Or Self Insured Employer Response {WC-1010}
- Second Injury Board Post-Hire Conditional Job Offer Knowledge Questionnaire {SIB FORM D}
- Second Injury Board Request For Reimbursement {SIB FORM B}
- Security Agreement For Certificate Of Deposit And Notice Of Security Interest
- Self-Insurance Application Checklist
- Service Company Application {WC 2007}
- Service Company Application Checklist
- Settlement Evaluation
- Settlement Evaluation Permanent And Total
- Social Security Nunmber Correction Form (Employer) {ES51B}
- Special Reimbursement Consideration Appeal {WC-3000}
- Stop Payment Form {WC-1003}
- Subpoena And Subpoena Duces Tecum {WC-1006C}
- Subpoena Duces Tecum For Inspection {WC-1006B}
- Subpoena For Deposition And Subpoena Duces Tecum {WC-1006A}
- Surety Bond
- WC Records Request Form {WC-1150}
- Workers Compensation (Notice)