A form to be completed by the employer/insurer regarding the electronic filing of the quarterly Second Injury Fund Surcharge Report Forms.
A form for an attorney to enter his or her appearance in a workers' compensation medical fee dispute.
A form for an attorney to make an entry of appearance in a workers' compensation case.
Complete the form to report a business for not carrying workers' compensation insurance.
The checklist of required items and information that must accompany the Application for Membership (WC-81B).
A health care provider’s response to a request for an award on undisputed facts in regard to an application for direct payment medical fee dispute.
Current contact information to be submitted by self-insured employers on an annual basis and as needed.
A motion to withdraw an attorney in regards to a workers' compensation case.
A form to submit proposed rates for a self-insured group trust.
Questions and affidavit for claimant regarding benefit sources and payments, form A.