Workers Compensation Forms and Templates

This Form is used for stipulating the advancement of funds in a workers' compensation case in Maryland.

This Form is used for reporting employee injuries or illnesses that occur in the state of Michigan. It helps employers comply with state regulations and keep a record of workplace incidents.

This Form is used for employees in Minnesota to file a claim petition.

This form is used for notifying the discontinuance of workers' compensation dependency benefits in Minnesota. It helps in informing the relevant authorities about the cessation of these benefits.

This document is used to notify the discontinuation of workers' compensation benefits when an employee passes away in Minnesota.

This Form is used for notifying the intention to discontinue workers' compensation benefits in the state of Minnesota.

This document outlines the rights and responsibilities of an injured worker in Minnesota regarding rehabilitation. It is used for understanding the entitlements and obligations of injured workers during the rehabilitation process.

This Form is used for authorizing the review or release of copies of a workers' compensation claim file in Minnesota.

This Form is used for certifying compliance with Minnesota Worker's Compensation Law in the state of Minnesota.

This document provides instructions for Missouri groups authorized to self-insure worker's compensation tax. It outlines the requirements and procedures for filing and paying the tax as per the Missouri Revised Statutes.

This form is used for applying for membership in Missouri.

This form is used for requesting an award based on undisputed facts in the state of Missouri.

This form is used for requesting a pre-hearing in Missouri.

This Form is used for applicants in Missouri who are requesting direct payment for their workers' compensation claims.

This type of document is an application form used in Missouri for individuals or entities to apply for direct payment.

This form is used to formally enter appearance in a legal case in Missouri.

This form is used for requesting mediation in Missouri for unresolved disputes related to workers' compensation.

This form is used for sending a response from the sender's transmission profile in regard to workers' compensation information in the state of Missouri.

This document provides a list of insurers for the state of Missouri that can be used as a reference in the WC-EDI-260 form.

This Form is used for employers in Missouri to provide an affidavit of exception from workers' compensation benefits.

This document is a checklist for group applications in the state of Missouri. It is used to ensure all necessary documents and information are included in the application.

This form is used for self-insured companies in Minnesota to report their outstanding losses. It helps the state track and monitor the financial standing of these companies.

This form is used for reporting eye injuries to the workers' compensation authorities in the state of Missouri. It is filled out by a physician to provide detailed information about the nature and extent of the eye injury.

This form is used for reporting specific and aggregate excess insurance coverage in the state of Missouri.

This Form is used for reporting noncompliance cases to the appropriate authorities in Missouri.

This form is used for requesting a conference in the state of Missouri.

This Form is used for reaching a compromise settlement in workers' compensation cases in Missouri.

This form is used for issuing a subpoena in the state of Missouri.

This form is used for requesting an award based on undisputed facts when applying for direct payment in Missouri.

This form is used for companies or organizations in Missouri to apply for authority to self-insure workers' compensation coverage.

This form is used for employers in Missouri who carry their own risk and need to submit a bond.

This form is used for applying for group self-insurance in the state of Missouri. It allows businesses and organizations to apply to become self-insured for workers' compensation coverage.

This form is used for applying for a workers' compensation license in the state of Nevada. It allows individuals or businesses to apply for permission to provide workers' compensation insurance coverage to employees.

This Form is used for reporting employee injuries or incidents that occur in the state of Nebraska.

This Form is used for employees in New Jersey to file a claim petition for their work-related injuries or illnesses.

This Form is used for filing a Dependency Claim Petition in the state of New Jersey. It is used to petition for dependent benefits related to a work-related injury or death.

This form is used for filing a respondent's answer to a claim petition in New Jersey.

This document is used for providing proof of insurance for workers compensation in the state of Delaware.