DWC Forms and Templates

18
total templates

Documents

18

Form WC-3 "Notice to Controvert" - Georgia (United States)

Rate (4.7 / 5) 97 votes
Size: 191 KB
2 pages

Form WC-5 "Employee's Claim for Workers' Compensation Benefits" - Hawaii

Rate (4.7 / 5) 55 votes
Size: 234 KB
4 pages

Form LWC-ES1 "Employer Application for La Unemployment Account" - Louisiana

Rate (4.8 / 5) 42 votes
Size: 398 KB
2 pages

Form WC95 "Request for Insurer Information" - Colorado

Rate (4.6 / 5) 17 votes
Size: 188 KB
3 pages

WCC Form IC-16 "Officer Exclusion" - Maryland

Rate (4.4 / 5) 39 votes
Size: 54 KB
1 page

Form 14 "Physician's Report of Work Ability" - Ohio

Rate (4.8 / 5) 76 votes
Size: 417 KB
4 pages

Form 105 "Request for Qualified Medical Evaluator Panel" - California

Rate (4.6 / 5) 61 votes
Size: 2 MB
3 pages

Form 110 "Qme Appointment Notification Form" - California

Rate (4.8 / 5) 35 votes
Size: 1 MB
2 pages

Form WC174 "Worker's Claim for Compensation Transmittal" - Colorado

Rate (4.4 / 5) 28 votes
Size: 18 KB
1 page

Form WC134 "Request for Services" - Colorado

Rate (4.8 / 5) 25 votes
Size: 70 KB
1 page

Form WC132 "Division Ime Examiner's Summary Sheet" - Colorado

Rate (4.3 / 5) 14 votes
Size: 136 KB
1 page

Form WC-102 "Request for Documents to Parties" - Georgia (United States)

Rate (4.6 / 5) 73 votes
Size: 110 KB
1 page

Form LIBC-344 "Employer's Report of Injury or Disease" - Pennsylvania

Rate (4.8 / 5) 75 votes
Size: 370 KB
2 pages

Form C-42G "Employee's Choice of Physician" - Tennessee

Rate (4.5 / 5) 58 votes
Size: 102 KB
1 page

Form LB-1111 "Drug Free Workplace Program Application" - Tennessee

Rate (4.7 / 5) 62 votes
Size: 197 KB
1 page

Form LB-0021 "Tennessee Department of Labor and Workforce Development Employer's First Report of Work Injury or Illness" - Tennessee

Rate (4.6 / 5) 56 votes
Size: 1 MB
1 page

Form 10214 "Compromise and Release" - California

Rate (4.3 / 5) 96 votes
Size: 1 MB
9 pages

Form C-105.51 "Notice of Election of a Corporation Which Is Required to Have Coverage for Its Employees" - New York

Rate (4.6 / 5) 72 votes
Size: 40 KB
2 pages