Forms

Supervisor Instructions/Procedures

  1. Supervisor WC Instructions July 2026

First Report of Injury

  1. First Report of Injury Form

Employee's Choice of Physician (Panel of Physicians)

  1. Panel of Physicians fillable July 2026

Employee Contact Info Form

  1. Employee Contact Information form fillable

Employee Instructions/Procedures

  1. EE WC responsibilities 2026

Blood Exposure Packet

  1. Blood OPIM Exposure Packet 2024

Mileage Reimbursement Request Form

  1. Mileage Reimbursement request