Publications and Forms
A claim to be filed regarding a payment to the estate of an Air Ambulance Pilot, an Air Ambulance Registered Professional Nurse, an Emergency Medical Technician, a Firefighter, or a Law Enforcement Officer who was killed in the line of duty.
A form, when properly executed, that allows the Division to release or disclose certain information regarding an individual’s workers’ compensation records.
An Irrevocable Letter of Credit; one of three options available to meet the self-insurance security requirement. Must be accompanied by the Authorization for Release of Confidential Information (WC-249-3)