Workers Compensation Forms and Templates

This document is used for reporting the first injury of an employee to their supervisor at Bentley University.

This document is used for reporting workplace injuries to OSHA. It is filled out by employees to provide details about their injury and how it occurred.

This form is used to authorize the release of information in the state of Missouri.

This form is used for providing information to injured employees in Kansas. It includes details about the employee's accident, injuries, and any witnesses or parties involved.

This Form is used for filing a Petition for Reconsideration with the California Division of Workers' Compensation Appeals Board (DWC/WCAB). It is a legal document used to request a review of a decision made in a workers' compensation case.

This Form is used for California QMEs to disclose their specified financial interests.

This Form is used for a Compromise and Release agreement in the state of California. It is a legal document that resolves disputes and settles claims between two parties.

This document is a DWC Formulario 9768.10 which is used for requesting an Independent Medical Review in California.

This form is used for employees in California to complete a questionnaire regarding their disability status.

This document is used for issuing a legal order, known as a subpoena or subpoena duces tecum, in the state of Maryland. It allows individuals or organizations to compel the attendance of witnesses or the production of documents for a legal proceeding.

This Form is used for claimants to complete a questionnaire in the state of Maryland.

This Form is used for employers in Maryland to fill out a questionnaire regarding their business. It is used by the Maryland Workers' Compensation Commission (WCC) to gather information about the employer's business practices and potential liability in workers' compensation cases.

This form is used for submitting an affidavit to claim time-loss compensation in the state of Washington.

This form is used for reporting the first injury that occurs in the workplace in the state of Minnesota. It is important to fill out this form to ensure that the appropriate actions are taken to support the employee and prevent future injuries.

This form is used for workers compensation and public disability benefit questionnaires. It helps gather information about an individual's work-related injuries or disabilities and their eligibility for compensation or benefits.

This Form is used for applying for an informal hearing in New Jersey.

This document is used for applying for a physician contract as an independent medical reviewer in California.

This document is for filing a complaint about a Workers' Compensation Administrative Law Judge in California. It provides a formal process for addressing grievances or concerns regarding the judge's actions or decisions in workers' compensation cases.

This document is used for notifying injured individuals in California of their options for regular, modified, or alternative work after an injury that occurred on or after January 1, 2013.

This form is used for selecting a physician in Louisiana workers' compensation cases.

This document is used for reporting work-related injuries and illnesses. It is also known as OSHA Form 301 and is commonly used by the Fleetwood Group.

Health practitioners in Ontario may use this form to record a person's injuries that occurred at work.

This form is used for employers in Alabama to report any work-related injuries or occupational diseases that occur to their employees.

This form is used for settling a workers' compensation claim with a third party in California.

This Form is used for employers in Pennsylvania to report work-related injuries or diseases. It helps ensure proper documentation and communication for workers' compensation claims.

This form is used for requesting documents from parties involved in a legal case in the state of Georgia, United States.

This form is used for employers in Oklahoma to report the first notice of an employee's injury.

This form is used for filing a disputed claim for compensation in the state of Louisiana. It allows individuals to request a review of their denied workers' compensation claims.

This form is used for employers in Massachusetts to report any work-related injuries or fatalities to the state authorities.

This Form is used for filing an appeal request to the Office of Workers' Compensation Programs (OWCP).

This form is used for reporting the first injury that occurs under the supervision of a supervisor at North Carolina State University in North Carolina.

This form is used for reporting injuries in the state of Massachusetts. It is used to document details of the accident, the injured person, and the nature of the injury.

This form is used for doctors in New York to report on the progress of their patients.

This form is used for reporting employment status in the state of Maine. It helps the state government collect information about individuals' employment situations.

This Form is used for employees in Maine to report their return to work after a work-related injury.