Claims Pages
claimspages

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) Letters


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) Forms Property & Casualty

Florida WC Forms

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

Georgia WC Forms

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

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) Forms Property & Casualty

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) General Reference
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