Wyoming Department of Workforce Services Forms

This checklist is used to evaluate the ergonomic conditions in Wyoming workplaces to ensure the well-being and safety of employees.

This document is a drilling worksheet specific to the state of Wyoming. It is used to record information related to drilling activities in Wyoming.

This document is used to authorize the release of personal information in the state of Wyoming. It allows for the sharing of information between individuals or organizations.

This form is used for requesting preauthorization for durable medical equipment in Wyoming.

This document is for individuals in Wyoming who believe they have been discriminated against in employment due to a disability. The ADA Intake Questionnaire helps gather information to assess the case and determine if it qualifies for the Fair Employment Program.

This document is a type of bond required for employment agencies in Wyoming. It ensures that the agency operates legally and protects the interests of job seekers.

This type of document is a questionnaire related to carpal tunnel syndrome and nerve impingement specific to the state of Wyoming. It is used to gather information and assess the presence and severity of symptoms related to these conditions.

This form is used to apply for death benefits or the remaining balance of an award in the state of Wyoming.

This Form is used for notifying a change in your health care provider in the state of Wyoming.

This document is for chiropractic clinics in Wyoming to use when conducting a patient exam or re-exam. It helps chiropractors assess and evaluate their patients' conditions and develop appropriate treatment plans.

This document is an application form for individuals in Wyoming who wish to join the Telecommunications Relay Service Advisory Committee.

This form is used for remitting the required special fee to the Wyoming Relay Service Fund.

This document outlines the formula used to determine the base pay for contract interpreters in Wyoming.

This document is used for the renewal application of the Drug and Alcohol Discount Annual Application in Wyoming, without any changes to the policy.

This form is used for applying or renewing a discount on drug and alcohol services in Wyoming, with updated policy changes.

This form is used for applying for a safety discount on annual insurance premiums in Wyoming. It can be used for both new applications and renewals that include policy changes.

This document is used for updating your address or name change in the state of Wyoming.

This form is used for employees in Wyoming who are temporarily assigned to light duty or restricted work due to a workplace injury or illness. It outlines the terms and conditions of the temporary assignment and the employee's responsibilities during this period.

This form is used to verify attendance at a conference in Wyoming. Participants can use this form to provide proof of their attendance for various purposes, such as receiving continuing education credits or reimbursement from their employers.

This document is used to verify attendance for training sessions in the state of Wyoming.

This document is used for requesting preauthorization for home and vehicle modifications in the state of Wyoming.

This Form is used for requesting a safety visit in Wyoming.

This Form is used for filing a claim for unpaid wages in the state of Wyoming.

This document is a general intake questionnaire used by the Fair Employment Program in Wyoming. It helps gather relevant information from individuals who have experienced unfair treatment in the workplace.

This document is used for renewing the Drug & Alcohol Discount Annual Application in Wyoming without making any policy changes.

This document is for applying or renewing the Drug & Alcohol Discount Program in Wyoming with policy changes.

This document is for new applicants or renewal of the Safety Discount Program in Wyoming, with policy changes. It provides information about how to apply for or renew the program and highlights any updates or revisions that have been made to the program's policies.