mountain range logo
 Home | Visitor Info | General Info | Departments | Meetings | Dept Phone List   | Community Events


 

Workman's Compensation Claim Forms

Request for Workman's Compensation Provider Care
Employers First Report of Injury
Employee's Written Notice of Injury to Employer - page 1
Employee's Written Notice of Injury to Employer - page 2
Supervisor's Accident/Incident Report
HIPPA Compliant Authorization for Release of Medical Information - updated 11/03/10
Worker' Compensation Designated Medical Provider List - update 11/08/11

(back to HR page)

 



 Home | Visitor Info | General Info | Departments | Meetings | Dept Phone List   | Community Events

 

 

 

     

           

                             

          

 

 

 

Back to HR page