State Board of Workers' Compensation Forms

FORM#

TITLE

WC-BOR

Bill of Rights (Revised July 2016)

WC-BOR-Sp

Bill of Rights (Revised July 2016) - español

WC-P1

Panel of Physicians (Revised 2006)

WC-P1-Sp

Panel of Physicians (Revised 2006) - español

WC-6

Wage Statement (Revised 2017)

WC-10

Notice of Election or Rejection of Workers' Compensation Coverage (Revised 2013)

WC-1

Employer's First Report of Injury (Revised 2017)