Special Resources » Forms: Insurance


Download a large number of workers compensation forms. Sample bid package - forms, checklists, etc. used by a university's risk management department. Series of risk management forms and letters. Forms for life & health, property casualty, WC insurance, etc.

The following is the collection of special resources throughout the library. Click on main category / sub-category for that section of the library OR Click on resource title for immediate access to the resource.
Construction » Risk Management
Risk management and insurance related issues in the construction industry

Construction Insurance/Risk Management Checklist [11644] Construction Insurance/Risk Management Checklist : Resource Info
Checklist to audit your construction risk management/insurance programs

Insurance Coverage Checklist [19092] Insurance Coverage Checklist : Resource Info
Evaluate your insurance management program with this checklist

Drivers and Vehicles » Fleet Policies
Sample fleet-related company policies - vehicle use, drivers, seat belts, etc.

Updated Notarized Statement of Driving Record [14520] Notarized Statement of Driving Record : Resource Info
Form for out-of-state/country drivers to complete

Safety » Accident Investigation
Accident investigation programs, job safey analyses, etc.

Incident Investigation Basics [23670] Incident Investigation Basics : Resource Info
Includes a sample WC accident investigation report form

Safety » Older Person Mobility
Driving tips for senior drivers and teenagers

Agreement about Driving - Elderly [18319] Agreement about Driving - Elderly : Resource Info
Sample form to assist with planning ahead for a time when a person must stop driving

Safety » WC Forms
Download state workers compensation forms such as first report of injury

14 Day Injury Report Form [pdf] [34242] 14 Day Injury Report Form : Resource Info
Example of a form to be completed when an injured employee has been off the job for 14 days due to the injury

AK-Alaska - Workers Compensation Forms [6243] AK-Alaska - Workers Compensation Forms : Resource Info
Download Alaska workers compensation forms, first report of injury and more

AR-Arkansas - Workers Compensation Forms [1568] AR-Arkansas - Workers Compensation Forms : Resource Info
Nearly 20 different workers compensation forms for the state of Arkansas may be downloaded

AZ-Arizona - Workers Compensation Forms [10615] AZ-Arizona - Workers Compensation Forms : Resource Info
Workers comp forms, self-insured forms, ADOSH forms and more

CA-California - Self-insured WC Forms [4957] CA-California - Self-insured WC Forms : Resource Info
Download workers compensation forms for the state of California self-insureds

CA-California - WC Forms in Numerical Order [4950] CA-California - WC Forms in Numerical Order : Resource Info
Download physician and employer first report of injury forms, etc for the state of California

CA-California - Workers Compensation Forms [4951] CA-California - Workers Compensation Forms : Resource Info
Download WC forms for California

CA-California - Workers Compensation Forms [10303] CA-California - Workers Compensation Forms : Resource Info
Download a set of WC forms for the state of California

CO-Colorado Questionable WC Claim Notice [pdf] [34241] CO-Colorado Questionable WC Claim Notice : Resource Info
Example of an attachment to First Notice of Loss when employer doubts injury has occurred

CT-Connecticut - Workers Compensation Forms [3541] CT-Connecticut - Workers Compensation Forms : Resource Info
Large number of forms from the Connecticut Workers Compensation Commission

FL-Florida - Workers Compensation Forms [4959] FL-Florida - Workers Compensation Forms : Resource Info
Download over 50 commonly used workers compensation forms for Florida

GA-Georgia - Workers Compensation Forms [6267] GA-Georgia - Workers Compensation Forms : Resource Info
Download a large number of workers compensation forms for the state of Georgia

GA-Georgia Subsequent Injury Trust Fund Claim Form [20036] GA-Georgia Subsequent Injury Trust Fund Claim Form : Resource Info
Download the claim form - also provides statutory filing requirements

HI-Hawaii WC Forms [32892] HI-Hawaii WC Forms : Resource Info
Download workers compensation forms for the State of Hawaii

IA-Iowa - Workers Compensation Forms [10091] IA-Iowa - Workers Compensation Forms : Resource Info
Workers comp forms for the state of Iowa

ID-Idaho - Workers Compensation Forms Used by the Industrial Commission [6251] ID-Idaho - Workers Compensation Forms Used by the Industrial Commission : Resource Info
Download WC forms for the state of Idaho

IN-Indiana - Workers Compensation Forms [6255] IN-Indiana - Workers Compensation Forms : Resource Info
Download WC forms for the state for Indiana

KS-Kansas - Workers Compensation Forms [3903] KS-Kansas - Workers Compensation Forms : Resource Info
Download a large number of WC forms for the state of Kansas

KS-Kansas Self Insurance Forms [11205] KS-Kansas Self Insurance Forms : Resource Info
Download Kansas WC self-insurance application forms - spreadsheets

KY-Kentucky - Workers Compensation Forms [4966] KY-Kentucky - Workers Compensation Forms : Resource Info
Download forms used for workers compensation in Kentucky

LA-Louisiana - Workers Compensation Forms & Instructions [7972] LA-Louisiana - Workers Compensation Forms & Instructions : Resource Info
Download WC forms for the state of Louisiana

MA-Massachusetts - Workers Compensation Forms [6259] MA-Massachusetts - Workers Compensation Forms : Resource Info
Download WC forms for the state of Massachusetts

MD-Maryland - Workers Compensation Forms [13522] MD-Maryland - Workers Compensation Forms : Resource Info
Some forms available for downloading

ME-Maine - Workers Compensation Forms [6262] ME-Maine - Workers Compensation Forms : Resource Info
Download selected WC forms for the state of Maine

MI-Michigan - Workers Compensation Forms [5788] MI-Michigan - Workers Compensation Forms : Resource Info
Download WC forms, including the Employers Basic Report of Injury

MN-Minnesota - Workers Compensation Forms [4169] MN-Minnesota - Workers Compensation Forms : Resource Info
Download the Minnesota WC forms (InForms format)

MO-Missouri - Workers Compensation Forms [10080] MO-Missouri - Workers Compensation Forms : Resource Info
Download frequently used workers compensation forms

MT-Montana - Workers Compensation Court Forms [10092] MT-Montana - Workers Compensation Court Forms : Resource Info
Download legal forms for the Workers Compensation Court of Montana

NC-North Carolina - Workers Compensation Forms [4986] NC-North Carolina - Workers Compensation Forms : Resource Info
Download forms required for workers compensation in North Carolina

ND-North Dakota Workers Compensation Forms [15317] ND-North Dakota Workers Compensation Forms : Resource Info
WC related forms for North Dakota

NE-Nebraska: Workers Compensation Forms [3020] NE-Nebraska: Workers Compensation Forms : Resource Info
Download forms related to workers compensation in Nebraska

NJ-New Jersey - Workers Compensation Forms & Brochures [6286] NJ-New Jersey - Workers Compensation Forms & Brochures : Resource Info
Download workers compensation forms for the state of New Jersey

NM-New Mexico - Workers Compensation Forms [6288] NM-New Mexico - Workers Compensation Forms : Resource Info
Download workers compensation forms for the state of New Mexico

NV-Nevada - Workers Compensation Forms [6290] NV-Nevada - Workers Compensation Forms : Resource Info
Download workers compensation forms for Minnesota

NY-New York - Workers Compensation Forms [4979] NY-New York - Workers Compensation Forms : Resource Info
Download commonly used forms required for WC in the state of New York

NY-New York Independent Medical Examination (IME) Forms [15221] NY-New York Independent Medical Examination (IME) Forms : Resource Info
Download IME forms for the state of New York

OH-Ohio - Workers Compensation Forms [4989] OH-Ohio - Workers Compensation Forms : Resource Info
Download Ohio's common BWC forms

OH-Ohio Industrial Commission Forms [659] OH-Ohio Industrial Commission Forms : Resource Info
Download the forms for WC for the state of Ohio

OR-Oregon - Workers Compensation Forms [4984] OR-Oregon - Workers Compensation Forms : Resource Info
Download a very large number of workers compensation forms for Oregon

RI-Rhode Island - Workers Compensation Forms [16124] RI-Rhode Island - Workers Compensation Forms : Resource Info
Download WC forms for the State of Rhode Island

SC-South Carolina Workers Compensation Forms [23170] SC-South Carolina Workers Compensation Forms : Resource Info
Download a series of workers compensation forms for the state of South Carolina

SD-South Dakota - Workers Compensation Forms [13521] SD-South Dakota - Workers Compensation Forms : Resource Info
Download WC forms including First Report of Injury for South Dakota

TN-Tennessee WC Forms [14401] TN-Tennessee WC Forms : Resource Info
Download a series of workers compensation forms for the state of Tennessee

TX-Texas - WC Forms [4995] TX-Texas - WC Forms : Resource Info
List of workers compensation forms and brochures

US Division of Coal Mine Workers' Compensation Forms - Black Lung [29025] US Division of Coal Mine Workers
OWCP forms for federal workers to apply for workers compensation benefits under Black Lung benefits

US Division of Energy Employees Occupational Illness Compensation Claims Forms [29026] US Division of Energy Employees Occupational Illness Compensation Claims Forms : Resource Info
Claims forms for benefits under the Energy Employees Occupational Illness Compensation Program Act

US Division of Federal Employees’ Compensation Forms [29023] US Division of Federal Employees’ Compensation Forms : Resource Info
OWCP forms for federal workers to apply for workers compensation benefits

US Division of Longshore and Harbor Workers' Compensation Forms [29024] US Division of Longshore and Harbor Workers
OWCP forms for federal workers to apply for workers compensation benefits under Longshore benefits

UT-Utah Workers Compensation Forms [23225] UT-Utah Workers Compensation Forms : Resource Info
Download a variety of WC forms for the State of Utah

VA-Virginia - Workers Compensation Commission Forms [13084] VA-Virginia - Workers Compensation Commission Forms : Resource Info
Download WC forms for the state of Virginia - self-insurance forms, etc

VT-Vermont - Workers Compensation Forms [5001] VT-Vermont - Workers Compensation Forms : Resource Info
Download workers compensation forms

WA-Washington Board of Industrial Appeals Forms [15266] WA-Washington Board of Industrial Appeals Forms : Resource Info
Forms for the WC appeals process

WI-Wisconsin - Workers Compensation Forms [4803] WI-Wisconsin - Workers Compensation Forms : Resource Info
Access a variety of forms (e.g., first report of injury) related to workers compensation

WV-West Virginia - Workers Compensation Forms [4782] WV-West Virginia - Workers Compensation Forms : Resource Info
Download more than 50 different West Viriginia state WC forms - all in pdf format

WY-Wyoming - Workers Compensation Forms [16123] WY-Wyoming - Workers Compensation Forms : Resource Info
Download WC forms for the state of Wyoming

US State Government » AK-Alaska
US state agencies, laws and regulations for the state of Alaska

Self Insurance: Alaska Employer Guidance for WC Self Insurance [11151] Self Insurance: Alaska Employer Guidance for WC Self Insurance : Resource Info
Series of documents, forms, etc. related to self-insurance in the State of Alaska

US State Government » AZ-Arizona
Access to state agencies and laws for the state of Arizona

Self Insured Employers WC Forms [23181] Self Insured Employers WC Forms : Resource Info
Download WC forms for self-insured employers in the State of Arizona

US State Government » CT-Connecticut
Access to state agencies and laws for the state of Connecticut

Self Insurance: Connecticut: Employer Self-Insurance Application Package [pdf] [11201] Self Insurance: Connecticut: Employer Self-Insurance Application Package : Resource Info
Information package for employers wishing to self-insure their WC liabilities - includes forms

US State Government » IN-Indiana
Access to state agencies and laws for the state of Indiana

Self Insurance: Indiana Self Insurance Resources [11204] Self Insurance: Indiana Self Insurance Resources : Resource Info
Resources for Indiana WC self-insurance

US State Government » LA-Louisiana
Access to state agencies and laws for the state of Louisiana

Self-Insurer WC Application - Louisiana [23188] Self-Insurer WC Application - Louisiana : Resource Info
Download the application to become self-insured for WC in LA

US State Government » MO-Missouri
Access to state agencies and laws for the state of Missouri

Missouri WC Self-Insurance Program [15295] Missouri WC Self-Insurance Program : Resource Info
Information and forms for the Missouri self-insurance program for WC

US State Government » NH-New Hampshire
Access to state agencies and laws for the state of New Hampshire

Self Insurance: New Hampshire Self Insurance Statutes and Application [11233] Self Insurance: New Hampshire Self Insurance Statutes and Application : Resource Info
Provides links to the WC self-insurance laws and can download the self-insurance application

US State Government » NY-New York
Access to state agencies and laws for the state of New York

Self Insurance Information - New York WC [5012] Self Insurance Information - New York WC : Resource Info
Information for self insuring for workers compensation in the State of New York

US State Government » OH-Ohio
Access to state agencies and laws for the state of Ohio

Ohio WC Self-Insurance Program [5311] Ohio WC Self-Insurance Program : Resource Info
Description of the program options

US State Government » WI-Wisconsin
Access to state agencies and laws for the state of Wisconsin

Plain Language Summary of Law Changes [20929] Plain Language Summary of Law Changes : Resource Info
A brief summary of legislative changes to the Worker’s Compensation Act

US State Government » WV-West Virginia
Access to state agencies and laws for the state of West Virginia

Self Insurance: West Virginia Self-Insurance Program [11270] Self Insurance: West Virginia Self-Insurance Program : Resource Info
Download forms, checklists and general information about self-insurance in West Virginia



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