FORMS & INFORMATION

State Specific Forms and Information

Alabama

ADA-Employer-Responsibilities

AL Wage and Hour Laws 9-10-18

Alabama Drug and Alcohol Testing Laws

Alabama Employee Leave Laws - Overview 05-09-19

Alabama Workers' Compensation Statutes

Body Part Checklist

Employee Injury Checklist - Alabama

Employer Responsibilities

Fraud Statement

Reasonable-Accommodation-Request Employee

Reasonable-Accommodation-Response - Employer

Refusal of Medical Treatment or Observation-All States

Supervisor's Accident-Investigation Form

Arizona

2018-2019 Arizona Workers Compensation Statutes

ADA-Employer-Responsibilities

Arizona Minimum Wage Laws

Arizona Wage Payment Requirements

Body Part Checklist

Claims Process

Employee Benefits

Employee Eligibility

Employee Injury Checklist - Arizona

Employer Penalties

Employer Responsibilities

Fraud Statement

Reasonable-Accommodation-Request Employee

Reasonable-Accommodation-Response - Employer

Refusal of Medical Treatment or Observation-All States

Supervisor's Accident-Investigation Form

California

ADA-Employer-Responsibilities

Body Part Checklist

Claims Process

Declination-of-Treatment-CA

Employee Benefits

Employee Eligibility

Employee Injury Checklist - California

Employer Responsibilities

Fraud Statement

Reasonable-Accommodation-Request Employee

Reasonable-Accommodation-Response - Employer

Supervisor's Accident-Investigation Form

Colorado

ADA-Employer-Responsibilities

Body Part Checklist

Claims Process

Colorado Overtime Wage Laws

Colorado Wage Payment Requirements

Colorado Workers' Compensation Statutes

Employee Benefits

Employee Eligibility

Employee Injury Checklist - Colorado

Employer Penalties

Fraud Statement

Reasonable-Accommodation-Request Employee

Reasonable-Accommodation-Response - Employer

Refusal of Medical Treatment or Observation-All States

Supervisor's Accident-Investigation Form

Connecticut

130190 Connecticut Workers Compensation - Claims Process

Concurrent Employment Third Party Liability

Employee Information Brochure

Filing Status and Exemption

First Report of Injury DAS-WC207

Physicians Workers' Status Report

Request for Use of Accrued Leave Form WC-715

Supervisor's Accident Investigation Report 207-1

Supervisor's Guide to Claim Reporting

Florida

68305 Florida Workers Compensation - Claims Process

DWC1 First Report of Injury

English Informational-brochure-for-employers

English-injured-worker-informational-brochure

Spanish informational-brochure-for-employers

Spanish-injured-worker-informational-brochure

Wage Statement

Georgia

134014 Georgia Workers Compensation - Claims Process

Employer's First Report of Injury

Injured Worker Bill of Rights - English

Injured Worker Bill of Rights - Spanish

Wage Statement

Illinois

2018-2019 Illinois Worker's Compensation Statutes

ADA-Employer-Responsibilities

Body Part Checklist

Employee Benefits

Employee Eligibility

Employee Injury Checklist - Illinois

Employer Penalties

Employer Responsibilities

Fraud Statement

Illinois Workers Compensation - Overview

Reasonable-Accommodation-Request Employee

Reasonable-Accommodation-Response - Employer

Refusal of Medical Treatment or Observation-All States

Supervisor's Accident-Investigation Form

Iowa

130970 Iowa Workers Compensation - Claims Process

First Report of Injury -- 14-0001 -- 2023.03

wage-statement-IA

Indiana

ADA-Employer-Responsibilities

Body Part Checklist

Claims Process

Employee Benefits

Employee Eligibility

Employee Injury Checklist - Indiana

Employer Penalties

Employer Responsibilities

Fraud Statement

Indiana Minimum Wage Laws 09-13-18

Supervisor's Accident-Investigation Form

Kentucky

148411 Kentucky Workers Compensation - Claims Process

Employers First Report of Injury Form 1A

Medical Waiver and Consent Form 106

Notice of Designated Physician Form113

Louisiana

151728 Louisiana Workers Compensation - Claims Process

First Report of Injury or Illness

Second Injury Post Hire Conditional Questionnaire

Wage Statement

Workers' Compensation Dos and Don'ts

Massachusetts

2018-2019 Massachusetts Workers' Compensation Statutes

ADA-Employer-Responsibilities

Body Part Checklist

Claims Process

Employee Benefits

Employee Eligibility

Employee Injury Checklist - Massachusetts

Employer Penalties

Employer Responsibilities

Fraud Statement

Reasonable-Accommodation-Request Employee

Reasonable-Accommodation-Response - Employer

Refusal of Medical Treatment or Observation-All States

Supervisor's Accident-Investigation Form

Maryland

1Claims Process

2018-2019 Maryland Worker's Compensation Statutes

ADA-Employer-Responsibilities

Body Part Checklist

Employee Benefits

Employee Eligibility

Employee Injury Checklist - Maryland

Employer Penalties

Employer Responsibilities

Fraud Statement

Maryland Minimum Wage Laws

Maryland Overtime Wages and Work Hours

Reasonable-Accommodation-Request Employee

Reasonable-Accommodation-Response - Employer

Refusal of Medical Treatment or Observation-All States

Supervisor's Accident-Investigation Form

Michigan

7Employee Eligibility

2018-2019 Michigan Worker's Compensation Statutes

ADA-Employer-Responsibilities

Body Part Checklist

Employee Benefits

Employee Injury Checklist - Michigan

Employer Penalties

Fraud Statement

Michigan Minimum Wage Laws

Michigan Overtime Laws

Reasonable-Accommodation-Request Employee

Reasonable-Accommodation-Response - Employer

Refusal of Medical Treatment or Observation-All States

Supervisor's Accident-Investigation Form

Minnesota

2018-2019 Minnesota Workers' Compensation Statutes

ADA-Employer-Responsibilities

Body Part Checklist

Claims Process

Employee Benefits

Employee Eligibility

Employee Injury Checklist - Minnesota

Employer Penalties

Employer Responsibilities

Fraud Statement

Minnesota Minimum Wage Laws

Minnesota Work Hour Laws

Reasonable-Accommodation-Request Employee

Reasonable-Accommodation-Response - Employer

Refusal of Medical Treatment or Observation-All States

Supervisor's Accident-Investigation Form

Missouri

ADA-Employer-Responsibilities

Body Part Checklist

Claims Process

Employee Benefits

Employee Eligibility

Employee Injury Checklist - Missouri

Employer Penalties

Employer Responsibilities

Fraud Statement

Missouri Overtime Wage Laws

Missouri Required Workplace Posters 112618

Missouri Wage Payment Requirements

Missouri Workers' Compensation Statutes

Reasonable-Accommodation-Request Employee

Reasonable-Accommodation-Response - Employer

Refusal of Medical Treatment or Observation-All States

Supervisor's Accident-Investigation Form

New Jersey

2018-2019 New Jersey Worker's Compensation Statutes

ADA-Employer-Responsibilities

Body Part Checklist

Claims Process

Employee Benefits

Employee Eligibility

Employee Injury Checklist - New Jersey

Employer Penalties

Employer Responsibilities

Fraud Statement

New Jersey Minimum Wage Laws

New Jersey Overtime Wage Laws

New Jersey Paid Sick Leave

New Jersey Required Workplace Posters

Reasonable-Accommodation-Request Employee

Reasonable-Accommodation-Response - Employer

Refusal of Medical Treatment or Observation-All States

Supervisor's Accident-Investigation Form

New York

73312 New York Workers Compensation - Claims Process

Employer Reporting Responsibilities

Employers First Report of Injury Form C-2F

Employers Report of Change in Employment Status

Statement of Earnings Preceding Injury

Statement of Rights

Statement of Wage Earnings

North Carolina

92358 North Carolina Workers Compensation - Claims Process

Claim by Employee for Benefits for Lung Disease

Employee Application for Additional Medical Compensation

Employer's Report of Injury Form19

Notice of Accident to Employer Form 18

Notice to Injured Workers and Employers Form 17

Oklahoma

138114 Oklahoma Workers' Compensation - Claims Process

Employer's First Notice of Injury CC-Form2

Guide for Employers 11_19_2015 FINAL

Oregon

2018-2019 Oregon Workers' Compensation Statutes

ADA-Employer-Responsibilities

Body Part Checklist

Employee Injury Checklist - Oregon

Employer Responsibilities

Fraud Statement

Oregon Employee Leave Laws - Overview

Oregon Required Workplace Posters

Oregon Sick Time Leave

Reasonable-Accommodation-Request Employee

Reasonable-Accommodation-Response - Employer

Refusal of Medical Treatment or Observation-All States

Supervisor's Accident-Investigation Form

827

153605 Oregon Workers Compensation - Employer Responsibilities

Employers Responsibilities

Report of Job Injury or Illness (Spanish)

Report of Job Injury or Illness

Tennessee

127817 Tennessee Workers Compensation - Claims Process

Employee Choice of Physician

Tennessee Employer Report Form C-20

Wage Statement

Texas

73Employee Eligibility

2018-2019 Texas Worker's Compensation Statutes

ADA-Employer-Responsibilities

Body Part Checklist

Claims Process

Employee Benefits

Employee Injury Checklist - Texas

Employer Penalties

Employer Responsibilities

Fraud Statement

Reasonable-Accommodation-Request Employee

Reasonable-Accommodation-Response - Employer

Refusal of Medical Treatment or Observation-All States

Supervisor's Accident-Investigation Form

Virginia

ADA-Employer-Responsibilities

Body Part Checklist

Claims Process

Employee Benefits

Employee Eligibility

Employee Injury Checklist - Virginia

Employer Penalties

Employer Responsibilities

Fraud Statement

Reasonable-Accommodation-Request Employee

Reasonable-Accommodation-Response - Employer

Refusal of Medical Treatment or Observation-All States

Supervisor's Accident-Investigation Form

Virginia Employee Leave Laws - Overview

Virginia Required Workplace Posters

Virginia Wage and Hour Laws

Virginia Workers' Compensation Statutes

Washington

Injured Worker Toolkit

14 Employer Responsibilities

ADA-Employer-Responsibilities

Body Part Checklist

Claims Process

Employee Benefits

Employee Eligibility

Employee Injury Checklist - Washington

Employer Penalties

Fraud Statement

Reasonable-Accommodation-Request Employee

Reasonable-Accommodation-Response - Employer

Refusal of Medical Treatment or Observation-All States

Supervisor's Accident-Investigation Form

Washington Employee Leave Laws - Overview

Washington Minimum Wage Laws

Washington Overtime Wage Laws

Washington Paid Sick Leave

Washington Required Workplace Posters

Washington Wage Payment Requirements

Washington Worker's Compensation Statutes

Wisconsin

2018-2019 Wisconsin Worker's Compensation Statutes

ADA-Employer-Responsibilities

Body Part Checklist

Employee Benefits

Employee Eligibility

Employee Injury Checklist - Wisconsin

Employer Penalties

Employer Responsibilities

Fraud Statement

Reasonable-Accommodation-Request Employee

Reasonable-Accommodation-Response - Employer

Refusal of Medical Treatment or Observation-All States

Supervisor's Accident-Investigation Form

Wisconsin Employee Leave Laws - Overview

Wisconsin Family and Medical Leave

Wisconsin Minimum Wage Laws

Wisconsin Required Workplace Posters

Wisconsin Wage Payment Requirements

Wisconsin Work Hour Requirements

Recordings & Additional Information