Claims
- IA-1 First Report of Incident
- Direct Deposit
- Direct Deposit (Spanish)
- Average Weekly Wage Certification (AWW)
- First Fill Card
- Medical Waiver & Consent Form (Form 106)
- Notice of Designated Physician (Form 113)
- Claimant Reimbursement Form (Form 114)
- Job Analysis Form
- W-9 Taxpayer Identification Number Request Form (IRS Website)