A claim to be filed regarding a payment to the estate of air ambulance pilots, air ambulance registered professional nurses, emergency medical technicians, firefighters, law enforcement officers, and volunteer firefighters who were killed in the line of duty before August 28, 2017.

A claim to be filed regarding a payment to the estate of air ambulance pilots, air ambulance registered professional nurses, emergency medical technicians, firefighters, law enforcement officers, and volunteer firefighters who were killed in the line of duty between August 28, 2017 and before August 28, 2018. 

A claim to be filed regarding a payment to the estate of air ambulance pilots, air ambulance registered professional nurses, emergency medical technicians, firefighters, law enforcement officers, volunteer firefighters, air ambulance registered respiratory therapists, flight crew members, and public safety officers who were killed in the line of duty on or after August 28, 2018.

A form, when properly executed, that allows the Division to release or disclose certain information regarding an individual’s workers’ compensation records. 

An authorization for the release of claimant records.

This is the form for claimants to appeal an unemployment insurance determination.

An intake questionnaire regarding discrimination in employment to be completed within 180 days of alleged discrimination.

An intake questionnaire regarding housing complaints.

An intake questionnaire regarding discrimination in public accommodations to be completed within 180 days of alleged discrimination.

Un folleto de la discriminación que abarque la educación y la formación ofrecida por MCHR.