Claims Forms & Documents

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Alabama: Employer's First Report of Injury
Arkansas: First Report of Injury or Illness
Connecticut: Employers First Report of Occupational Injury
District of Columbia: First Report of Injury or Occupational Disease
Florida: First Report of Injury or Illness
Georgia: First Report of Injury or Occupational Disease
Louisiana: First Report of Injury or Illness
Mississippi: First Report of Injury or Illness
Missouri: Report of Injury
New Jersey: First Report of Injury or Illness
North Carolina: Employer's Report of Employee's Injury
Oklahoma: First Notice of Claim For Compensation
Pennsylvania: First Report of Injury
Rhode Island: First Report of Alleged Occupational Injury
South Carolina: First Report of Injury or Illness
Tennessee: Employer's First Report of Injury or Illness
Texas: First Report of Injury or Illness
Virginia: First Report of Injury