Publications and Forms

A form to be completed by physician examining a workers compensation eye injury.

 

Instructions for completing the application, affidavit and waiver of workers compensation benefits.

 

Information regarding employees who wish to be exempt from workers' compensation law because of religious reasons.

 

This form allows employees to provide proper written notification to their employer when a workplace injury/occupational disease occurs.

 

The form to be completed by an employee who is requesting a rescission from a previously received religious exemption.

 

A sample of by-laws that may be used as a reference when forming a new group trust.

 

Certification procedures for a self-insured group trust’s safety program.