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 |