Workers Compensation Forms and Templates

This form is used for reporting accidental injuries or occupational diseases in the state of New Hampshire.

This form is used for employers in New Hampshire to report additional information regarding a work-related injury.

This document is used for filing a workers' compensation medical form in the state of New Hampshire.

This form is used for submitting a memo of permanent impairment award in New Hampshire for workers' compensation cases.

This form is used for reporting extended disability in New Hampshire.

This form is used for completing a workers' compensation task analysis in New Hampshire. It helps to determine the tasks involved in a worker's job and assess the potential risks for compensation purposes.

This form is used for authorizing compensation for death in New Hampshire workers' compensation cases. It is required to properly file a claim for this type of compensation.

This form is used for notifying the intention to suspend payment of workers' compensation benefits in New Hampshire.

This form is used for applying for workers' compensation self-insurance as a group in the state of New Hampshire.

This Form is used for carriers in New York to report on rehabilitation efforts.

This Form is used for filing a claim for compensation in a death case in New York for Chinese speakers.

This Form is used for filing a claim for compensation in a death case in New York. The form is available in Korean.

This Form is used for notifying the New York State Workers' Compensation Board of the election of a partnership, limited liability partnership, limited liability company, or sole proprietorship to bring partners, members, or self-employed persons under the coverage of the New York State Workers' Compensation Law.

This form is used for notifying workers in New York about their right to choose a healthcare provider authorized by the Workers' Compensation Board. It is available in English and Chinese.

This form is used for notifying workers in New York about their right to choose a healthcare provider authorized by the Workers' Compensation Board. The form is available in English and Haitian Creole languages.

This form is used for notifying workers in New York about their right to choose a healthcare provider authorized by the Workers' Compensation Board. It is available in both English and Korean.

This form is used for informing workers in New York about their right to choose a healthcare provider authorized by the Workers' Compensation Board. The form is available in both English and Polish languages.

This Form is used for notifying workers in New York of their right to choose a healthcare provider authorized by the Workers' Compensation Board. It is available in both English and Russian languages.

This form is used for obtaining a surety bond for self-insurers of workers' compensation in the state of Oklahoma.

This document is a notification issued by a Temporary Help Service in North Carolina. It may include information on temporary job placements and related matters.

This form is used for employers and employees in Ohio who want to select a state other than Ohio as the exclusive remedy for workers' compensation claims.

This form is used for workers in Ohio who want to waive their workers' compensation benefits when participating in recreational or fitness activities.

This document is used for filing a return for the Worker's Compensation Security Fund in the state of New Jersey.

This document is for changing your workers' compensation status in the state of Oregon. It is used to update and modify your existing workers' compensation arrangement.

This form is used for the respondent to provide their answer to a dependency claim petition in the state of New Jersey.

This form is used for collecting information about the petitioner's occupation in a workers' compensation case in New Jersey.

This Form is used to provide a pre-trial memorandum in a legal case in New Jersey.

This form is used for issuing a subpoena in New Jersey to compel a witness to produce specific documents for a testimony.

This form is used for issuing a Subpoena Ad Testificandum in the state of New Jersey.

This form is used for collecting information about the respondent's occupation in a standard way. It is specific to the state of New Jersey.

This Form is used for filing a notice of motion in the state of New Jersey.

This form is used for individuals in Oklahoma to apply for appointment as a certified workers' compensation mediator.