Worker's Comp Form

Please download, complete, and directly email to: [email protected]

Steps to Fill Out Forms

1. Make sure you have Adobe Acrobat or another PDF editing software
(Visit get.adobe.com/reader/otherversions to download Acrobat for FREE.)
2. Download the PDFs (above) and open them in Adobe Acrobat
3. Type the information into boxes
4. Save the completed form
5. Send the completed form directly to [email protected]

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