USEFUL FORMS

 

Here are links to many forms you may find useful.  Some forms are in several formats and can be filled in on-line and then printed for your use.  Many you can fill out online and then save to your computer for e-mail submission.  Please contact Terri Prichard if there are additional forms you'd like to see included here.

 

Form Description Fill-in online in WORD Print in Word, fill in by hand Print in pdf html format
DWC-1     DWC-1  
5020 5020 5020 5020  
Inventory of Personal Property Form Inventory of Personal Property Form Inventory of Personal Property Form Inventory of Personal Property Form  
Work Status Report   Work Status Report Work Status Report  
Treatment Referral Form   Treatment Referral Form Treatment Referral Form  
Supervisor's First Report of Injury   Supervisor's First Report of Injury Supervisor's First Report of Injury  
Designated Doctor Form   Designated Doctor Form    
Pesticide Posting     Pesticide Posting  
Certificate of Insurance Request Form       Certificate of Insurance Request Form
Safety Credit application Form   Safety Credit Form    
Localized Incentive Program Application Form   Localized Incentive Application Localized Incentive Application  

 

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