State Board of Workers' Compensation Forms

FORM#

TITLE

WC-BOR

Bill of Rights (Revised 7/2016)

WC-BOR-Sp

Bill of Rights (Revised 7/2016) - español

WC-P1

Panel of Physicians (Revised 7/2006)

WC-P1-Sp

Panel of Physicians (Revised 7/2006) - español

WC-6

Wage Statement (Revised 12/2018)

WC-10

Notice of Election or Rejection of Workers' Compensation Coverage (Revised 5/2013)

WC-1

Employer's First Report of Injury (Revised 12/2018)