235709
This form is used for claiming a redemption from multiple insurance carriers in Michigan.
This form is used for an agreement in the state of Michigan to redeem liability for the WC-556.
This form is used for authorizing the disclosure of confidential workers' compensation information in Michigan.
This form is used as an addendum to an agreement to redeem liability in the state of Michigan. It provides additional details or modifications to the original agreement.
This form is used for applying for workers' disability compensation as a group self-insurer in Michigan.
This form is used for self-insured employers in Michigan to request the addition or deletion of a subsidiary or affiliate to their coverage.
This Form is used for applying as a workers' compensation agency service company in Michigan.
This form is used for self-insured groups in Michigan to provide a notice of acceptance of membership.
This document is a type of surety bond specific to Michigan. It is used to provide continuous coverage for certain business activities in the state.
This form is used for self-insured groups in Michigan to notify the termination of membership.
This Form is used for transferring claims between self-insurers in the state of Michigan.
This document is used for providing proof of specific or aggregate excess liability insurance coverage in the state of Michigan.
This Form is used for reporting on rehabilitation in the state of Michigan. It is used to gather information about the progress and outcomes of rehabilitation programs.
This Form is used for individuals or organizations in Michigan to apply for agency approval as a rehabilitation facility.
This form is used for vocational rehabilitation providers in Michigan to provide a professional disclosure statement.
This form is used for declaring support for the Redemption Agreement in Michigan.
This document allows employees in Louisiana to request a flexible work schedule or work hours. It gives them the opportunity to seek a different schedule that better fits their needs while still meeting their job responsibilities.
This document is a justification memorandum specifically for the state of Louisiana regarding the use of wireless communication devices.
This document is used in Louisiana for employees to acknowledge and certify their understanding of the cellular phone or mobile device policy in their workplace.
This Form is used for giving permission to contact and obtain information from references for background checks in the state of Louisiana.
This document is used to verify someone's employment in the state of Louisiana. It confirms the individual's job position, employer information, and dates of employment.
This Form is used as an optional attachment to a position description in the state of Louisiana. It provides additional information and details about the position.
This document is for requesting a change in organizational unit or reporting relationship in the Louisiana state government.
This document is a questionnaire that allows employees in Louisiana to request an optional pay adjustment for significant additional duties they have taken on.
This Form is used for requesting a voluntary demotion in Louisiana, which may result in a reduction in pay.
This Form is used for requesting a voluntary demotion while waiving the pay reduction in the state of Louisiana.
This Form is used for requesting leave during times of crisis in the state of Louisiana.
This form is used for donating crisis leave in the state of Louisiana.
This Form is used for providing a conditional offer of employment in the state of Louisiana.
This document is used for requesting on-call pay in the state of Louisiana.
This document is used for conducting induction checklist procedures in Louisiana. It helps ensure that employees have received all necessary information and training before starting their job.
This form is used to request to recruit for a vacant position in the state of Louisiana.
This Form is used for requesting special leave in Louisiana.
This document is used for disclosing any additional employment held outside of the individual's primary job in the state of Louisiana. It is important for employees to transparently report any outside positions they hold to avoid conflicts of interest.
This type of document is used for outlining the agreement or understanding between the employer and employee in Louisiana regarding compensation for overtime work.
This document is used in Louisiana for filing a complaint or expressing dissatisfaction with a situation or organization. It provides a formal process for individuals to voice their concerns and seek resolution.
This document is used for requesting personnel actions in the state of Louisiana. It outlines the instructions for completing and submitting the Personnel Action Request form.
This document certifies the supervision of contract personnel in Louisiana.