New York Drug Formulary FAQ

This document provides information for claims professionals on the New York Workers’ Compensation Drug Formulary that became effective on December 5, 2019.
  PDF (488.762KB) Workers' Compensation General Reference

Request For Medical Docs/Bills From Dr. (Spanish)

A form letter requesting medical documents and bills from a physician providing treatment to a claimant, sent with a medical authorization.
  DOC (45KB) Liability Spanish Workers' Compensation Letters

Employer Occupational Injury And Disease Report

Basic reporting form used by an employer to record an employee's injury or illness on the job.
  PDF (66KB) Workers' Compensation Forms Property & Casualty

Delaware WC Forms

A collection of workers' compensation forms which are authorized to be used in the state of Delaware.
  DOC (0KB) Workers' Compensation Forms Property & Casualty

Hawaii WC Forms

A collection of workers' compensation forms which are authorized to be used in the state of Hawaii.
  PDF (0KB) Workers' Compensation Forms Property & Casualty

Iowa WC Forms

A collection of workers' compensation forms which are authorized to be used in the state of Iowa.
  PDF (0KB) Workers' Compensation Forms Property & Casualty

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

Arkansas WC Forms

A collection of workers' compensation forms which are authorized to be used in the state of Arkansas.
  PDF (0KB) Workers' Compensation Forms Property & Casualty

Louisiana WC Forms

A collection of workers' compensation forms which are authorized to be used in the state of Louisiana.
  PDF (0KB) Workers' Compensation Forms Property & Casualty

Indiana WC Forms

A collection of workers' compensation forms which are authorized to be used in the state of Indiana.
  PDF (0KB) Workers' Compensation Forms Property & Casualty

Employer Occupational Injury And Disease Report (Spanish)

Basic reporting form used by an employer to record an employee's injury or illness on the job.
  PDF (50KB) Spanish Workers' Compensation Forms Property & Casualty

Tennessee WC Forms

A collection of workers' compensation forms which are authorized to be used in the state of Tennessee.
  PDF (0KB) Workers' Compensation Forms Property & Casualty

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

South Carolina WC Forms

A collection of workers' compensation forms which are authorized to be used in the state of South Carolina.
  PDF (0KB) Workers' Compensation Forms Property & Casualty

North Dakota WC Forms

A collection of workers' compensation forms which are authorized to be used in the state of North Dakota.
  PDF (0KB) Workers' Compensation Forms Property & Casualty
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