Workers' Compensation Forms
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Facts About WC Pamphlet
1.5 MB • pdf • July 3, 2024
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Form 29 - Notice of Leave of Absence for Temporary Disability Indemnity Payment
803 KB • pdf • July 1, 2024
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Form 5020 - Employers Report of Occupational Injury or Illness
101 KB • pdf • July 4, 2024
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Form DWC1- Employees Claim for Workers Compensation Benefits
106 KB • pdf • July 3, 2024
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Form S&T 201 - Employee Request for Medical Treatment
300 KB • pdf • July 1, 2024
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Form S&T 202 - Supervisor's Report of Accident
311 KB • pdf • July 9, 2024
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Notice Poster, DWC-7, 2016
55 KB • pdf • July 3, 2024
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Time of Hire Pamphlet
2 MB • pdf • July 3, 2024
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Workers' Comp FAQ
495 KB • pdf • July 15, 2024
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Workers' Compensation Fraud Posters
753 KB • pdf • July 3, 2024
Disability Management Forms