DWC Forms and Templates
18
total templates
Documents
18
By default
By name
By form number
By size
PDF
Form WC-3 "Notice to Controvert" - Georgia (United States)
Rate
(4.7 / 5)
97 votes
Size:
191 KB
2 pages
+ show tags
- hide tags
Georgia Workers Compensation Forms
Georgia State Board of Workers' Compensation
Georgia (United States) Legal Forms
Legal
United States Legal Forms
View form
Download
PDF
Form WC-5 "Employee's Claim for Workers' Compensation Benefits" - Hawaii
Rate
(4.7 / 5)
55 votes
Size:
234 KB
4 pages
+ show tags
- hide tags
Workers Compensation Claim Form
Hawaii Department of Labor & Industrial Relations
Hawaii Legal Forms
Legal
United States Legal Forms
View form
Download
PDF
Form LWC-ES1 "Employer Application for La Unemployment Account" - Louisiana
Rate
(4.8 / 5)
42 votes
Size:
398 KB
2 pages
+ show tags
- hide tags
Louisiana Workers Compensation Forms
Louisiana Workforce Commission
Louisiana Legal Forms
Legal
United States Legal Forms
View form
Download
PDF
Form WC95 "Request for Insurer Information" - Colorado
Rate
(4.6 / 5)
17 votes
Size:
188 KB
3 pages
+ show tags
- hide tags
Colorado Department of Labor and Employment
Colorado Legal Forms
Legal
United States Legal Forms
View form
Download
PDF
WCC Form IC-16 "Exclusion Form" - Maryland
Rate
(4.4 / 5)
58 votes
Size:
85 KB
1 page
+ show tags
- hide tags
Maryland Workers' Compensation Commission
Maryland Legal Forms
Legal
United States Legal Forms
View form
Download
PDF
Form 14 "Physician's Report of Work Ability" - Ohio
Rate
(4.8 / 5)
76 votes
Size:
417 KB
4 pages
+ show tags
- hide tags
Ohio Bureau of Workers' Compensation
Ohio Legal Forms
Legal
United States Legal Forms
View form
Download
PDF
Form 105 "Request for Qualified Medical Evaluator Panel" - California
Rate
(4.6 / 5)
61 votes
Size:
2 MB
3 pages
+ show tags
- hide tags
California Department of Industrial Relations
California Legal Forms
Legal
United States Legal Forms
View form
Download
PDF
Form 110 "Qme Appointment Notification Form" - California
Rate
(4.8 / 5)
35 votes
Size:
1 MB
2 pages
+ show tags
- hide tags
California Department of Industrial Relations
California Legal Forms
Legal
United States Legal Forms
View form
Download
PDF
Form WC174 "Worker's Claim for Compensation Transmittal" - Colorado
Rate
(4.4 / 5)
28 votes
Size:
18 KB
1 page
+ show tags
- hide tags
Colorado Department of Labor and Employment
Colorado Legal Forms
Legal
United States Legal Forms
View form
Download
PDF
Form WC134 "Request for Services" - Colorado
Rate
(4.8 / 5)
25 votes
Size:
70 KB
1 page
+ show tags
- hide tags
Colorado Department of Labor and Employment
Colorado Legal Forms
Legal
United States Legal Forms
View form
Download
PDF
Form WC132 "Division Ime Examiner's Summary Sheet" - Colorado
Rate
(4.3 / 5)
14 votes
Size:
136 KB
1 page
+ show tags
- hide tags
Colorado Department of Labor and Employment
Colorado Legal Forms
Legal
United States Legal Forms
View form
Download
PDF
Form WC-102 "Request for Documents to Parties" - Georgia (United States)
Rate
(4.6 / 5)
73 votes
Size:
110 KB
1 page
+ show tags
- hide tags
Georgia Workers Compensation Forms
Georgia State Board of Workers' Compensation
Georgia (United States) Legal Forms
Legal
United States Legal Forms
View form
Download
PDF
Form LIBC-344 "Employer's Report of Injury or Disease" - Pennsylvania
Rate
(4.8 / 5)
76 votes
Size:
370 KB
2 pages
+ show tags
- hide tags
Pa Workers Compensation Forms
Pennsylvania Department of Labor & Industry
Pennsylvania Legal Forms
Legal
United States Legal Forms
View form
Download
PDF
Form C-42G "Employee's Choice of Physician" - Tennessee
Rate
(4.5 / 5)
58 votes
Size:
102 KB
1 page
+ show tags
- hide tags
Tennessee Workers Compensation Forms
Tennessee Department of Labor and Workforce Development
Tennessee Legal Forms
Legal
United States Legal Forms
View form
Download
PDF
Form LB-1111 "Drug Free Workplace Program Application" - Tennessee
Rate
(4.7 / 5)
72 votes
Size:
316 KB
1 page
+ show tags
- hide tags
Tennessee Department of Labor and Workforce Development
Tennessee Legal Forms
Legal
United States Legal Forms
View form
Download
PDF
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
+ show tags
- hide tags
Tennessee Workers Compensation Forms
Tennessee Department of Labor and Workforce Development
Tennessee Legal Forms
Legal
United States Legal Forms
View form
Download
PDF
Form 10214 "Compromise and Release" - California
Rate
(4.3 / 5)
96 votes
Size:
1 MB
9 pages
+ show tags
- hide tags
California Department of Industrial Relations
California Legal Forms
Legal
United States Legal Forms
View form
Download
PDF
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
+ show tags
- hide tags
New York State Department of Labor
New York Legal Forms
Legal
United States Legal Forms
View form
Download
Army
Business
Legal
Letters
Life
Real Estate
Tax
Wills
Share
page
Upload
Url of this page:
HTML Link:
![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 "Exclusion Form" - Maryland](https://data.templateroller.com/pdf_docs_html/2266/22667/2266747/wcc-form-ic-16-exclusion-form-maryland.png "WCC Form IC-16 "Exclusion Form" - 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/2237/22377/2237765/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")
