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Form WC-3 "Notice to Controvert" - Georgia (United States)
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(4.7 / 5)
97 votes
Size:
191 KB
2 pages
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Georgia Workers Compensation Forms
Georgia State Board of Workers' Compensation
Georgia (United States) Legal Forms
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United States Legal Forms
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Form WC-5 "Employee's Claim for Workers' Compensation Benefits" - Hawaii
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(4.7 / 5)
55 votes
Size:
234 KB
4 pages
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Workers Compensation Claim Form
Hawaii Department of Labor & Industrial Relations
Hawaii Legal Forms
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Form LWC-ES1 "Employer Application for La Unemployment Account" - Louisiana
Rate
(4.8 / 5)
42 votes
Size:
398 KB
2 pages
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Louisiana Workers Compensation Forms
Louisiana Workforce Commission
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Form WC95 "Request for Insurer Information" - Colorado
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(4.6 / 5)
17 votes
Size:
188 KB
3 pages
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Colorado Department of Labor and Employment
Colorado Legal Forms
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United States Legal Forms
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WCC Form IC-16 "Officer Exclusion" - Maryland
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(4.4 / 5)
39 votes
Size:
54 KB
1 page
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Maryland Workers' Compensation Commission
Maryland Legal Forms
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United States Legal Forms
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Form 14 "Physician's Report of Work Ability" - Ohio
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(4.8 / 5)
76 votes
Size:
417 KB
4 pages
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Ohio Bureau of Workers' Compensation
Ohio Legal Forms
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United States Legal Forms
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Form 105 "Request for Qualified Medical Evaluator Panel" - California
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(4.6 / 5)
61 votes
Size:
2 MB
3 pages
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California Department of Industrial Relations
California Legal Forms
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Form 110 "Qme Appointment Notification Form" - California
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(4.8 / 5)
35 votes
Size:
1 MB
2 pages
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California Department of Industrial Relations
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Form WC174 "Worker's Claim for Compensation Transmittal" - Colorado
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(4.4 / 5)
28 votes
Size:
18 KB
1 page
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Colorado Department of Labor and Employment
Colorado Legal Forms
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Form WC134 "Request for Services" - Colorado
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(4.8 / 5)
25 votes
Size:
70 KB
1 page
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Colorado Department of Labor and Employment
Colorado Legal Forms
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Form WC132 "Division Ime Examiner's Summary Sheet" - Colorado
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(4.3 / 5)
14 votes
Size:
136 KB
1 page
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Colorado Department of Labor and Employment
Colorado Legal Forms
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United States Legal Forms
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Form WC-102 "Request for Documents to Parties" - Georgia (United States)
Rate
(4.6 / 5)
73 votes
Size:
110 KB
1 page
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Georgia Workers Compensation Forms
Georgia State Board of Workers' Compensation
Georgia (United States) Legal Forms
Legal
United States Legal Forms
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Form LIBC-344 "Employer's Report of Injury or Disease" - Pennsylvania
Rate
(4.8 / 5)
75 votes
Size:
370 KB
2 pages
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Pa Workers Compensation Forms
Pennsylvania Department of Labor & Industry
Pennsylvania Legal Forms
Legal
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Form C-42G "Employee's Choice of Physician" - Tennessee
Rate
(4.5 / 5)
58 votes
Size:
102 KB
1 page
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Tennessee Workers Compensation Forms
Tennessee Department of Labor and Workforce Development
Tennessee Legal Forms
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United States Legal Forms
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Form LB-1111 "Drug Free Workplace Program Application" - Tennessee
Rate
(4.7 / 5)
62 votes
Size:
197 KB
1 page
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Tennessee Department of Labor and Workforce Development
Tennessee Legal Forms
United States Legal Forms
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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
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Tennessee Workers Compensation Forms
Tennessee Department of Labor and Workforce Development
Tennessee Legal Forms
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United States Legal Forms
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Form 10214 "Compromise and Release" - California
Rate
(4.3 / 5)
96 votes
Size:
1 MB
9 pages
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California Department of Industrial Relations
California Legal Forms
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United States Legal Forms
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Form C-105.51 "Notice of Election of a Corporation Which Is Required to Have Coverage for Its Employees" - New York
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(4.6 / 5)
72 votes
Size:
40 KB
2 pages
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New York State Department of Labor
New York Legal Forms
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![Form WC-3 "Notice to Controvert" - Georgia (United States)](https://data.templateroller.com/pdf_docs_html/1729/17292/1729218/form-wc-3-notice-to-controvert-georgia-united-states.png "Form WC-3 "Notice to Controvert" - Georgia (United States)")
![Form WC-5 "Employee's Claim for Workers' Compensation Benefits" - Hawaii](https://data.templateroller.com/pdf_docs_html/233/2337/233757/form-wc-5-employee-s-claim-workers-compensation-benefits-hawaii.png "Form WC-5 "Employee's Claim for Workers' Compensation Benefits" - Hawaii")
![Form LWC-ES1 "Employer Application for La Unemployment Account" - Louisiana](https://data.templateroller.com/pdf_docs_html/289/2898/289812/form-lwc-es-1-employer-application-la-unemployment-account-louisiana.png "Form LWC-ES1 "Employer Application for La Unemployment Account" - Louisiana")
![Form WC95 "Request for Insurer Information" - Colorado](https://data.templateroller.com/pdf_docs_html/1788/17886/1788658/form-wc-95-request-insurer-information-colorado.png "Form WC95 "Request for Insurer Information" - Colorado")
![WCC Form IC-16 "Officer Exclusion" - Maryland](https://data.templateroller.com/pdf_docs_html/270/2709/270996/wcc-form-ic-16-officer-exclusion-maryland.png "WCC Form IC-16 "Officer Exclusion" - Maryland")
![Form 14 "Physician's Report of Work Ability" - Ohio](https://data.templateroller.com/pdf_docs_html/227/2274/227438/form-14-physician-s-report-work-ability-ohio.png "Form 14 "Physician's Report of Work Ability" - Ohio")
![Form 105 "Request for Qualified Medical Evaluator Panel" - California](https://data.templateroller.com/pdf_docs_html/335/3358/335851/form-105-request-qualified-medical-evaluator-panel-california.png "Form 105 "Request for Qualified Medical Evaluator Panel" - California")
![Form 110 "Qme Appointment Notification Form" - California](https://data.templateroller.com/pdf_docs_html/103/1039/103952/form-110-qme-appointment-notification-form-california.png "Form 110 "Qme Appointment Notification Form" - California")
![Form WC174 "Worker's Claim for Compensation Transmittal" - Colorado](https://data.templateroller.com/pdf_docs_html/1788/17886/1788663/form-wc-174-worker-s-claim-compensation-transmittal-colorado.png "Form WC174 "Worker's Claim for Compensation Transmittal" - Colorado")
![Form WC134 "Request for Services" - Colorado](https://data.templateroller.com/pdf_docs_html/1788/17886/1788661/form-wc-134-request-services-colorado.png "Form WC134 "Request for Services" - Colorado")
![Form WC132 "Division Ime Examiner's Summary Sheet" - Colorado](https://data.templateroller.com/pdf_docs_html/1788/17886/1788662/form-wc-132-division-ime-examiner-s-summary-sheet-colorado.png "Form WC132 "Division Ime Examiner's Summary Sheet" - Colorado")
![Form WC-102 "Request for Documents to Parties" - Georgia (United States)](https://data.templateroller.com/pdf_docs_html/249/2491/249162/form-wc-102-request-documents-to-parties-georgia-united-states.png "Form WC-102 "Request for Documents to Parties" - Georgia (United States)")
![Form LIBC-344 "Employer's Report of Injury or Disease" - Pennsylvania](https://data.templateroller.com/pdf_docs_html/246/2467/246710/form-libc-344-employer-s-report-injury-or-disease-pennsylvania.png "Form LIBC-344 "Employer's Report of Injury or Disease" - Pennsylvania")
![Form C-42G "Employee's Choice of Physician" - Tennessee](https://data.templateroller.com/pdf_docs_html/243/2432/243244/form-c-42g-employee-s-choice-physician-tennessee.png "Form C-42G "Employee's Choice of Physician" - Tennessee")
![Form LB-1111 "Drug Free Workplace Program Application" - Tennessee](https://data.templateroller.com/pdf_docs_html/1906/19064/1906443/form-lb-1111-drug-free-workplace-program-application-tennessee.png "Form LB-1111 "Drug Free Workplace Program Application" - Tennessee")
![Form LB-0021 "Tennessee Department of Labor and Workforce Development Employer's First Report of Work Injury or Illness" - Tennessee](https://data.templateroller.com/pdf_docs_html/243/2432/243245/form-lb-0021-tennessee-department-labor-and-workforce-development-employer-s-first-report-work-injury-or-illness-tennessee.png "Form LB-0021 "Tennessee Department of Labor and Workforce Development Employer's First Report of Work Injury or Illness" - Tennessee")
![Form 10214 "Compromise and Release" - California](https://data.templateroller.com/pdf_docs_html/103/1039/103987/form-10214-compromise-and-release-california.png "Form 10214 "Compromise and Release" - California")
![Form C-105.51 "Notice of Election of a Corporation Which Is Required to Have Coverage for Its Employees" - New York](https://data.templateroller.com/pdf_docs_html/327/3278/327866/form-c-105-51-notice-election-a-corporation-which-is-required-to-have-coverage-its-employees-new-york.png "Form C-105.51 "Notice of Election of a Corporation Which Is Required to Have Coverage for Its Employees" - New York")
