A form requesting authority to distribute surplus monies of a self-insured group trust.

A quick reference for group trust reporting requirements.

A subpoena for a workers’ compensation case requiring the attendance of an individual at a hearing.

A subpoena for a workers’ compensation case requiring the attendance of an individual—along with specified documents or other evidence—at a hearing.

A subpoena for a workers’ compensation case requiring the attendance of an individual—along with specified documents or other evidence—at a deposition.

A subpoena for a workers’ compensation case requiring the attendance of an individual at a deposition.

A sample affidavit for former self-insured employers requesting release of security.

A sample affidavit for former self-insured group trusts requesting release of security.

An affidavit that construction industry business owners who are not required to purchase workers’ compensation insurance may use to aid them in obtaining business licenses from some cities and counties.  Note: This form should not be sent to the Division of Workers’ Compensation.

The application to be completed by an employer applying to individually self-insure.