Workers Compensation
Workers Compensation
Use forms provided here, for employee injuries:
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.pdf2025-07-07Injured Employee Workers Comp Packet (to be filled out by the employee)
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.pdf2025-07-07Supervisor Workers Comp Packet (to be filled out by employee\'s supervisor)
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.pdf2025-07-07Declination Form
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.pdf2025-07-07Notice to Employees - Work Injuries
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.pdf2025-07-07Notice to Employees (Spanish) - Work Injuries
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.pdf2026-10-20Concentra Authorization Form