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Workers' Compensation Forms
Workers' Compensation Forms
Supervisors Report of Incident - Injury - Illness
(DOC, 45.5 KB)
SORM-29 Employee's Report of Injury
(PDF, 262.5 KB)
SORM-16 Authorization for Release of Information
(PDF, 56.2 KB)
SORM-74 Witness Statement
(PDF, 89.2 KB)
SORM-80 Employees Election Regarding Utilization of Sick and Annual Leave
(PDF, 286.6 KB)
DWC-48 Request for Travel Reinmbursement
(PDF, 168.1 KB)
