State Board of Workers' Compensation Forms
FORM#
TITLE
Bill of Rights (Revised 7/2019)
Bill of Rights (Revised 7/2019) - Español
Panel of Physicians (Revised 7/2006)
Panel of Physicians (Revised 7/2006) - Español
Wage Statement (Revised 12/2018)
Notice of Election or Rejection of Workers' Compensation Coverage (Revised 5/2013)
Employer's First Report of Injury (Revised 12/2018)