Workers' Compensation Claim Forms
Scroll down for a list of forms that will need to be completed to submit a workers' compensation claim.
If you suffer a work injury, complete the "Notice of Accident" form, downloadable here. Give a copy to your supervisor and retain a copy for yourself. It is imperative that you provide notice of injury to your supervisor as soon as possible.
The Workers' Compensation Administration requires specific forms for selection of doctor, medical records releases, complaints, and other items. The Workers' Compensation Administration forms can be found here.
If you suffer a work injury, complete the "Notice of Accident" form, downloadable here. Give a copy to your supervisor and retain a copy for yourself. It is imperative that you provide notice of injury to your supervisor as soon as possible.
The Workers' Compensation Administration requires specific forms for selection of doctor, medical records releases, complaints, and other items. The Workers' Compensation Administration forms can be found here.