State Board of Workers' Compensation Forms
FORM#
TITLE
Bill of Rights (Revised 7/2022)
Bill of Rights (Revised 7/2022) - Español
Panel of Physicians (Revised 07/2022)
Panel of Physicians (Revised 07/2022) - Español
Wage Statement (Revised 12/2018)
Notice of Election or Rejection of Workers' Compensation Coverage (Revised 07/2021)
Employer's First Report of Injury (Revised 07/2021)