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Documents
103
![Form FL-1 "New Jersey Family Leave Benefits Application" - New Jersey](https://data.templateroller.com/pdf_docs_html/2151/21517/2151720/form-fl-1-new-jersey-family-leave-benefits-application-new-jersey.png "Form FL-1 "New Jersey Family Leave Benefits Application" - New Jersey")
![Form DS-1 "New Jersey Temporary Disability Benefits Application" - New Jersey](https://data.templateroller.com/pdf_docs_html/2154/21547/2154717/form-ds-1-new-jersey-temporary-disability-benefits-application-new-jersey.png "Form DS-1 "New Jersey Temporary Disability Benefits Application" - New Jersey")
![Form WC-8 "Amended Order" - New Jersey](https://data.templateroller.com/pdf_docs_html/2011/20112/2011268/form-wc-8-amended-order-new-jersey.png "Form WC-8 "Amended Order" - New Jersey")
![Form SCF-4 "Complaint of Discrimination" - New Jersey](https://data.templateroller.com/pdf_docs_html/1863/18635/1863503/form-scf-4-complaint-of-discrimination-new-jersey.png "Form SCF-4 "Complaint of Discrimination" - New Jersey")
![Form 2 "Courts on-Line Program Subscriber Application" - New Jersey](https://data.templateroller.com/pdf_docs_html/1864/18648/1864898/form-2-courts-on-line-program-subscriber-application-new-jersey.png "Form 2 "Courts on-Line Program Subscriber Application" - New Jersey")
![Form AA-1 "Authorized Agent Registration" - New Jersey](https://data.templateroller.com/pdf_docs_html/2151/21514/2151474/form-aa-1-authorized-agent-registration-new-jersey.png "Form AA-1 "Authorized Agent Registration" - New Jersey")
![Form UC-9 "Employer's Claim for Credit or Refund by Reason of Erroneous Payment of Contributions" - New Jersey](https://data.templateroller.com/pdf_docs_html/2151/21511/2151161/form-uc-9-employer-s-claim-for-credit-or-refund-by-reason-of-erroneous-payment-of-contributions-new-jersey.png "Form UC-9 "Employer's Claim for Credit or Refund by Reason of Erroneous Payment of Contributions" - New Jersey")
![Form WC-7 "Notice of Motion" - New Jersey](https://data.templateroller.com/pdf_docs_html/1866/18668/1866823/form-wc-7-notice-of-motion-new-jersey.png "Form WC-7 "Notice of Motion" - New Jersey")
![Form BC-2 "Request for Wage Separation Information" - New Jersey](https://data.templateroller.com/pdf_docs_html/2151/21514/2151401/form-bc-2-request-for-wage-separation-information-new-jersey.png "Form BC-2 "Request for Wage Separation Information" - New Jersey")
![Form BC-6 "Notice of Failure to Apply for, or to Accept, Suitable Work" - New Jersey](https://data.templateroller.com/pdf_docs_html/1876/18767/1876726/form-bc-6-notice-of-failure-to-apply-for-or-to-accept-suitable-work-new-jersey.png "Form BC-6 "Notice of Failure to Apply for, or to Accept, Suitable Work" - New Jersey")
![Form ACL-5 "Application for Permit Renewal" - New Jersey](https://data.templateroller.com/pdf_docs_html/1876/18767/1876739/form-acl-5-application-for-permit-renewal-new-jersey.png "Form ACL-5 "Application for Permit Renewal" - New Jersey")
![Form ACG-TTF-20 "Insurer's Quarterly Workers' Compensation Surcharge Return" - New Jersey](https://data.templateroller.com/pdf_docs_html/2154/21547/2154730/form-acg-ttf-20-insurer-s-quarterly-workers-compensation-surcharge-return-new-jersey.png "Form ACG-TTF-20 "Insurer's Quarterly Workers' Compensation Surcharge Return" - New Jersey")
![Form UC-45 "Voluntary Contribution Report" - New Jersey, 2021](https://data.templateroller.com/pdf_docs_html/2076/20765/2076558/form-uc-45-voluntary-contribution-report-new-jersey.png "Form UC-45 "Voluntary Contribution Report" - New Jersey, 2021")
![Form WC-47 "Decision of Dismissal (Second Injury Fund)" - New Jersey](https://data.templateroller.com/pdf_docs_html/2011/20112/2011269/form-wc-47-decision-of-dismissal-second-injury-fund-new-jersey.png "Form WC-47 "Decision of Dismissal (Second Injury Fund)" - New Jersey")
![Form MW-42 "Application for Permit to Maintain Payroll Records Outside of New Jersey" - New Jersey](https://data.templateroller.com/pdf_docs_html/2151/21512/2151231/form-mw-42-application-for-permit-to-maintain-payroll-records-outside-of-new-jersey-new-jersey.png "Form MW-42 "Application for Permit to Maintain Payroll Records Outside of New Jersey" - New Jersey")
![Form WC-31 "Pre-trial Memorandum" - New Jersey](https://data.templateroller.com/pdf_docs_html/1866/18668/1866816/form-wc-31-pre-trial-memorandum-new-jersey.png "Form WC-31 "Pre-trial Memorandum" - New Jersey")
![Form BC-10 "Instructions for Claiming Unemployment Benefits" - New Jersey](https://data.templateroller.com/pdf_docs_html/2151/21513/2151392/form-bc-10-instructions-for-claiming-unemployment-benefits-new-jersey.png "Form BC-10 "Instructions for Claiming Unemployment Benefits" - New Jersey")
![Form ASB-41 "Notification of Asbestos Abatement" - New Jersey](https://data.templateroller.com/pdf_docs_html/1864/18644/1864425/form-asb-41-notification-of-asbestos-abatement-new-jersey.png "Form ASB-41 "Notification of Asbestos Abatement" - New Jersey")
![Form WC-16 "Trial Scheduling Order" - New Jersey](https://data.templateroller.com/pdf_docs_html/118/1188/118832/form-wc-16-trial-scheduling-order-new-jersey.png "Form WC-16 "Trial Scheduling Order" - New Jersey")
![Form WC-18 "Subpoena Duces Tecum Ad Testificandum" - New Jersey](https://data.templateroller.com/pdf_docs_html/1866/18668/1866819/form-wc-18-subpoena-duces-tecum-ad-testificandum-new-jersey.png "Form WC-18 "Subpoena Duces Tecum Ad Testificandum" - New Jersey")
![Form WC(CF)-66 "Application for Informal Hearing" - New Jersey](https://data.templateroller.com/pdf_docs_html/118/1188/118809/form-wc-cf-66-application-for-informal-hearing-new-jersey.png "Form WC(CF)-66 "Application for Informal Hearing" - New Jersey")
![Form WC-10 "Substitution of Attorney" - New Jersey](https://data.templateroller.com/pdf_docs_html/1866/18668/1866822/form-wc-10-substitution-of-attorney-new-jersey.png "Form WC-10 "Substitution of Attorney" - New Jersey")
![Form SCF-16 "Social Security Offset Calculation" - New Jersey](https://data.templateroller.com/pdf_docs_html/1866/18667/1866794/form-scf-16-social-security-offset-calculation-new-jersey.png "Form SCF-16 "Social Security Offset Calculation" - New Jersey")
![Form WC-23 "Standard Respondent's Occupational Interrogatory Form" - New Jersey](https://data.templateroller.com/pdf_docs_html/1866/18668/1866821/form-wc-23-standard-respondent-s-occupational-interrogatory-form-new-jersey.png "Form WC-23 "Standard Respondent's Occupational Interrogatory Form" - New Jersey")
![Form WC-22 "Standard Petitioner's Occupational Interrogatory Form" - New Jersey](https://data.templateroller.com/pdf_docs_html/1866/18667/1866795/form-wc-22-standard-petitioner-s-occupational-interrogatory-form-new-jersey.png "Form WC-22 "Standard Petitioner's Occupational Interrogatory Form" - New Jersey")
Form WC-22 "Standard Petitioner's Occupational Interrogatory Form" - New Jersey
Size: 511 KB
3 pages
![Form MW-31A "Wage Claim" - New Jersey](https://data.templateroller.com/pdf_docs_html/2154/21547/2154716/form-mw-31a-wage-claim-new-jersey.png "Form MW-31A "Wage Claim" - New Jersey")
![Form MW-31C "Complaint Form - Selected Labor Laws" - New Jersey](https://data.templateroller.com/pdf_docs_html/2151/21517/2151771/form-mw-31c-complaint-form-selected-labor-laws-new-jersey.png "Form MW-31C "Complaint Form - Selected Labor Laws" - New Jersey")
![Form BPVC-003 "Application for Stationary, Power and Refrigeration Engineer, Boiler and Special Operator License" - New Jersey](https://data.templateroller.com/pdf_docs_html/2067/20670/2067085/form-bpvc-003-application-for-stationary-power-and-refrigeration-engineer-boiler-and-special-operator-license-new-jersey.png "Form BPVC-003 "Application for Stationary, Power and Refrigeration Engineer, Boiler and Special Operator License" - New Jersey")
![Form WC-956 "Dependency Claim Petition to Convert Voluntary Tender to Formal Judgment" - New Jersey](https://data.templateroller.com/pdf_docs_html/2067/20670/2067082/form-wc-956-dependency-claim-petition-to-convert-voluntary-tender-to-formal-judgment-new-jersey.png "Form WC-956 "Dependency Claim Petition to Convert Voluntary Tender to Formal Judgment" - New Jersey")
![Formulario MW-31S "Reclamo De Salario" - New Jersey (Spanish)](https://data.templateroller.com/pdf_docs_html/2151/21517/2151769/formulario-mw-31s-reclamo-de-salario-new-jersey-spanish.png "Formulario MW-31S "Reclamo De Salario" - New Jersey (Spanish)")
![Form BC-502 "Authorization for Direct Deposit of Benefit Payment" - New Jersey (English/Spanish)](https://data.templateroller.com/pdf_docs_html/2049/20497/2049762/form-bc-502-authorization-for-direct-deposit-of-benefit-payment-new-jersey-english-spanish.png "Form BC-502 "Authorization for Direct Deposit of Benefit Payment" - New Jersey (English/Spanish)")
![Form MW-563 "Annual Equal Pay Report for Qualifying Services Other Than Public Works Projects" - New Jersey](https://data.templateroller.com/pdf_docs_html/2154/21547/2154714/form-mw-563-annual-equal-pay-report-for-qualifying-services-other-than-public-works-projects-new-jersey.png "Form MW-563 "Annual Equal Pay Report for Qualifying Services Other Than Public Works Projects" - New Jersey")
![Form MI-228 "Stationary, Refrigeration, Power Engineer and/or Boiler Operator's License Renewal Application" - New Jersey](https://data.templateroller.com/pdf_docs_html/1876/18767/1876744/form-mi-228-stationary-refrigeration-power-engineer-and-or-boiler-operator-s-license-renewal-application-new-jersey.png "Form MI-228 "Stationary, Refrigeration, Power Engineer and/or Boiler Operator's License Renewal Application" - New Jersey")
![Form WC-103 "Order for Distribution for Child Support" - New Jersey](https://data.templateroller.com/pdf_docs_html/2032/20325/2032533/form-wc-103-order-for-distribution-for-child-support-new-jersey.png "Form WC-103 "Order for Distribution for Child Support" - New Jersey")
![Form WC-365 "Employee Claim Petition" - New Jersey](https://data.templateroller.com/pdf_docs_html/1863/18635/1863506/form-wc-365-employee-claim-petition-new-jersey.png "Form WC-365 "Employee Claim Petition" - New Jersey")
![Form WC-366 "Dependency Claim Petition" - New Jersey](https://data.templateroller.com/pdf_docs_html/1863/18635/1863509/form-wc-366-dependency-claim-petition-new-jersey.png "Form WC-366 "Dependency Claim Petition" - New Jersey")
![Form WC-381 "Medical Provider Application for Payment or Reimbursement of Medical Payment" - New Jersey](https://data.templateroller.com/pdf_docs_html/108/1088/108820/form-wc-381-medical-provider-application-for-payment-or-reimbursement-of-medical-payment-new-jersey.png "Form WC-381 "Medical Provider Application for Payment or Reimbursement of Medical Payment" - New Jersey")
![Form WC-369 "Answer to Application for Review or Modification of Formal Award" - New Jersey](https://data.templateroller.com/pdf_docs_html/335/3358/335867/form-wc-369-answer-to-application-for-review-or-modification-of-formal-award-new-jersey.png "Form WC-369 "Answer to Application for Review or Modification of Formal Award" - New Jersey")
