Workers' Compensation

Showing 129–144 of 374 results

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  Employers’ First Report of Injury or Illness

  IA-1 $89.00
• 

  Enter/Strike/Substitute Appearance of Counsel

  MDWC_C23R $69.00
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  Evaluation for Permanent Impairment

  NCWC25R $69.00
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  Explanation of Benefits

  TWCC-62 $89.00
• 

  Fatal Case – Final Admission

  COWC153 $89.00
• 

  Fatal Case – General Admission

  COWC151 $89.00
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  Final Admission of Liability (For Injuries On or After Aug. 5, 1998)

  COWC145 $89.00
• 

  Final Admission of Liability (Prior to Aug. 5, 1998)

  COWC4 $89.00
• 

  Final Medical Report

  TNWC_C-30A $39.00
• 

  Final Payment Notice

  COWC25 $89.00
• 

  Final Report of Payment and Receipt of Compensation

  NYWC_C-29 $89.00
• 

  First Report of Injury or Illness

  IA-1-AR $89.00
• 

  First Report of Injury or Illness

  FLWC1 $89.00
• 

  First Report of Injury or Illness

  SCWC12A $89.00
• 

  First Report Transmittal

  COWC106 $69.00
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  Form Letter Requesting Medical Information

  NYWCDB3103 $39.00