- Application For Certificate Of Self Insurance
- Authorization For Release Of Medical Records
- Building Permit Affidavit For Property Owners Or Sole Proprietors {7B}
- Building Permit For The General Contractor Or Principal Employer {7C}
- Building Permit For The Sole Proprietor Or Property Owner {7A}
- Commutation
- Coverage Election By Employee Who Is An Officer Or Member {6B}
- Coverage Election By Employees Who Are Members Of Partnership {6B-1}
- Coverage Election By Sole Proprietor Or Single Member LLC {75}
- Dependents Notice Of Claim {30D}
- Employee Medical And Work Status Form
- Employer Participation Form
- Employers First Report Of Occupational Injury Or Illness
- Filing Status And Exemption Form {1A}
- Guarantee Resolution
- Hearing Cancellation Request {HC}
- Hearing Request {HR}
- Inspection Form
- Mileage Worksheet For Medical Treatment
- Notice Of Claim For Compensation {30C}
- Notice Of Intention To Reduce Or Discontinue Payments {36}
- Notice To Compensation Commissioner And Employee Of Intention To Contest Employees Right To Compensation Benefits {43}
- Notice To Dependents {98}
- Notice To Employees
- Notification Of Appearance {NOA}
- Order To Second Injury Fund In Cases Of Concurrent Employment {44}
- Petition For Review {PFR}
- Physicians Permanent Impairment Evaluation {42}
- Record Of Employment Contacts
- Rehabilitation Request {WCR-1}
- Self Insurance Guarantee Agreement
- Self Insurer Surety Bond
- Stipulation Questionnaire
- Utilization Review Company Minimum Standards
- Voluntary Agreement