Work Related Injury Templates
Documents:
60
This form is used for logging work-related injuries and illnesses in California. It is a part of the Cal/OSHA Form 300 Appendix A.
PDF 
Word
This Form is used for claiming reimbursement for expenses in the state of California.
This document provides health recommendations for employees in the state of Iowa. It includes information on maintaining a healthy work environment and promoting employee well-being.
This form is used for employees and physicians in West Virginia to report occupational injuries or diseases.
This document is used for reporting workplace injuries to a supervisor in the state of Washington. It helps to keep a record of the incident and ensure proper follow-up and documentation.
This document is used for reporting a workplace injury in the state of Georgia, United States.
This form is used for employees in Texas to file a claim for compensation if they have a work-related injury or occupational disease.
This form is used for Texas employees to request a change of their treating doctor.
This document is used for submitting a claim for benefits related to pneumoconiosis (lung diseases caused by inhalation of certain dust particles) in the state of Virginia.
This form is used for reporting dental injuries or illnesses that occur at work in Canada. It is specifically designed for use by the Royal Canadian Mounted Police (RCMP) and the form number is GRC6582.
This form is used for reporting work-related illness or injury by members of the RCMP in Canada.
This Form is used for electing work related injury/illness leave in the state of Oklahoma.
