Employer Forms/Documents
Document Name | Last Date Of Revision/Review |
Statement of the Injured | Jun-24 |
Reporting a Claim | Jun-24 |
Post Offer of Employment Health Questionnaire | Jun-24 |
Post Offer of Employment Health Questionnaire (Spanish) | Jun-24 |
Supervisors Report | Jun-24 |
WC-1 : Employers First Report of Injury | Jul-21 |
WC-6 : Wage Statement | Dec-18 |
WC-207 : Release of Information... | Jul-21 |
WC-240 : Notice to Employee of Offer... | Jul-21 |
WC-BOR : Bill of Rights (English and Spanish) | Jun-24 |
Request a new Panel of Physicians | (Will Open Email Form) |
Officer Elections | Jun-24 |
Return To Work Best Practices | Jun-24 |
Supervisors Manual | Jun-24 |