Publications and Forms
A form to be completed by the injured worker or by his or her attorney when making a claim for workers' compensation for injuries occurring on or after January 1, 2014, based upon the revisions to the Workers’ Compensation Law made by Senate Bill 1.
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.
The Contractor's Wage Survey is voluntary, but heavily encouraged as the information collected from contractors helps determine the Annual Wage Order for the coming year. This survey accepts ONLY wages from commercial work (wages from residential projects will NOT be accepted).