Form 205 – Authorization to Release Industrial Accident Division Records

Petition for Reimbursement From the Employers’ Reinsurance Fund

2019 Medical Fee Standards
List of Self-Insured Employers
Corporation Directors and Officers Workers’ Compensation Exclusion Form
Guide to Death Benefits
Workers’ Compensation Poster (Spanish)

Workers’ Compensation Poster

Form 350 – Emergency Medical Service Provider Exposure Report Form

Form 302 – Medical Records – Copies
