Workers' Compensation Documents / Claims Pages / Page 5

PDF (32KB) Auto Liability Property Spanish Workers' Compensation Forms Property & Casualty

A reservation of insurer's rights to discovery, settlement, or defense in denial of a claim for loss and damages, agreed to by insured.

PDF (19KB) Auto Liability Property Special Investigations Workers' Compensation Forms Property & Casualty

The Human Lung Chart

PDF (98KB) Liability Workers' Compensation Medical Reference

General Authorization

This form authorizes release of information, and requires a notary signature.

PDF (17KB) Liability Special Investigations Workers' Compensation Forms Property & Casualty

General Authorization (Spanish)

This form authorizes release of information, and requires a notary signature.

PDF (85KB) Liability Spanish Special Investigations Workers' Compensation Forms Property & Casualty

Human Circulatory System

PDF (33KB) Liability Workers' Compensation Medical Reference

The Human Ear Chart

PDF (19KB) Liability Workers' Compensation Medical Reference

Workers' Compensation Accident - Employer

Statement guideline for interviewing the employer in a claim for workers' compensaton. Includes initial questions and follow up questions based on responses given.

PDF (16KB) Workers' Compensation Statement Guides

Workers' Compensation Accident - Witness

Statement guideline for interviewing a witness to a workers' compensaton injury. Includes initial questions and follow up questions based on responses given.

PDF (17KB) Workers' Compensation Statement Guides

Mississippi WC Forms

A collection of workers' compensation forms which are authorized to be used in the state of Mississippi.

HTML (0KB) Workers' Compensation Forms Property & Casualty

File Reassignment Letter

Form letter used to notify insured of reassignment of a claims handler.

PDF (26.939KB) Auto Liability Property Workers' Compensation Letters

Alaska Workers' Compensation Forms

A collection of workers' compensation documents which are authorized to be used in the state of Alaska.

PDF (0KB) Workers' Compensation Forms Property & Casualty

The Human Heart Chart

PDF (53KB) Liability Workers' Compensation Medical Reference

Hold Harmless Agreement (Spanish)

This is a contract that releases one party from any legal and financial responsibility for all loss or damage or future claims by the other party in exchange for a settlement.

PDF (82KB) Auto Liability Property Spanish Workers' Compensation Forms Property & Casualty

Virginia WC Forms

A collection of workers' compensation forms which are authorized to be used in the state of Virginia.

PDF (0KB) Workers' Compensation Forms Property & Casualty