Workers' Compensation Documents / Claims Pages / Page 7

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

Missouri WC Forms

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

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

Employment-Wage Authorization (Spanish)

A person uses this form to authorize an employer to release his or her employment and wage records to a third party.

PDF (86KB) Liability Spanish 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

Wisconsin WC Forms

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

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

Wyoming WC Forms

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

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

Utah WC Forms

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

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

Montana WC Forms

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

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

North Carolina WC Forms

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

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

Pennsylvania WC Forms

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

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

Rhode Island WC Forms

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

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

South Dakota WC Forms

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

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

Attending Physician's Report (Spanish)

A form which is filled out by the attending physician in order to qualify for medical benefits under an automobile insurance policy. (Spanish version of English form 3160F)

PDF (80KB) Liability Spanish Workers' Compensation Forms Property & Casualty