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The following is a checklist of steps to take in the event of loss

Fill in the blank form assists with reporting property losses

Example of a form to be completed when an injured employee has been off the job for 14 days due to the injury

Full text of WC return to work program for state agencies in Texas - plus, checklist & forms

An explanation of the state of Georgia's RTW program for state employees

Steps for creating a list of duties that can be offered to an injured worker who is returning to work

A sample policy statement to be signed by the injured worker

Temporary Disability: Transitional Work Agreement - sample form

A sample form that is signed by the injured worker to accepts a modified work assignment (pdf)

Steps to take for accommodating an injured employee's return to work

A series of templates for Return to Work

Templates, checklists, sample forms

Text of a policy that outlines the procedures plus a sample letter to be sent to the injured worker

A form for use in outlining the plan specifications for returning an injured employee to work

Provides essential management information concerning the health status of an injured worker after each physician visit

Forms in use by a major university

Download Alaska workers compensation forms, first report of injury and more

Nearly 20 different workers compensation forms for the state of Arkansas may be downloaded

Workers comp forms, self-insured forms, ADOSH forms and more

Download workers compensation forms for the state of California self-insureds

Download physician and employer first report of injury forms, etc for the state of California

Download WC forms for California

Download a set of WC forms for the state of California

Example of an attachment to First Notice of Loss when employer doubts injury has occurred

Large number of forms from the Connecticut Workers Compensation Commission

Download the commonly used workers compensation forms for Florida

Download a large number of workers compensation forms for the state of Georgia

Also provides statutory filing requirements

Download workers compensation forms for the State of Hawaii

Workers comp forms for the state of Iowa

Download WC forms for the state of Idaho

Download WC forms for the state for Indiana

Download a large number of WC forms for the state of Kansas

Download Kansas WC self-insurance application forms - spreadsheets

Download forms used for workers compensation in Kentucky

Download WC forms for the state of Louisiana

Download WC forms for the state of Massachusetts

Some forms available for downloading

Download selected WC forms for the state of Maine

Download WC forms, including the Employers Basic Report of Injury

Download the Minnesota WC forms

Download frequently used workers compensation forms

Download legal forms for the Workers Compensation Court of Montana

Download forms required for workers compensation in North Carolina

WC related forms for North Dakota

Download forms related to workers compensation in Nebraska

Download workers compensation forms for the state of New Jersey

Download workers compensation forms for the state of New Mexico

Download workers compensation forms for Minnesota

Download commonly used forms required for WC in the state of New York

Download IME forms for the state of New York

Download Ohio's common BWC forms

Download the forms for WC for the state of Ohio

Download a very large number of workers compensation forms for Oregon

Download WC forms for the State of Rhode Island

Download a series of workers compensation forms for the state of South Carolina

Download WC forms including First Report of Injury for South Dakota

Download a series of workers compensation forms for the state of Tennessee

List of workers compensation forms and brochures

OWCP forms for federal workers to apply for workers compensation benefits under Black Lung benefits

Claims forms for benefits under the Energy Employees Occupational Illness Compensation Program Act

OWCP forms for federal workers to apply for workers compensation benefits

OWCP forms for federal workers to apply for workers compensation benefits under Longshore benefits

Download a variety of WC forms for the State of Utah

Download WC forms for the state of Virginia - self-insurance forms, etc

Download workers compensation forms

Information for the WC appeals process

Access a variety of forms (e.g., first report of injury) related to workers compensation

The following forms are approved for use in West Virginia workers compensation claims

Download WC forms for the state of Wyoming

Business continuity concerns that should be addressed in the planning process

Various forms and worksheets related flood insurance losses

Sample form to assist with planning ahead for a time when a person must stop driving

Form for out-of-state/country drivers to complete

Information for physicians, health care professionals, researchers, etc.

Forms for wheelchairs, hospital beds, infusion pumps, etc

Full text of a risk management policy in use by state agencies in Oregon - includes forms

Issues to review for BI coverage

BI claim considerations and sample worksheet

Checklist for collecting information about the WC claim

What to do in the event of a property loss

To be used for insurance coverage and risk management analysis

Checklist designed to help you evaluate your insurance carrier's safety services

Gather the information claim representatives are most likely to need when a claim is reported

Checklist of sources for policies or secondary evidence of coverage

A checklist for classifying property ownership

Property/casualty insurance risks that arise out of fortuitous events

To be used for insurance coverage and risk management analysis

A quick self-assessment of your current SIF recovery practices

Checklist to audit your construction risk management/insurance programs

Covers intellectual property, privacy, and communications liability

Self audit related to hiring practices, terminations, etc.

Includes major lines of insurance coverage

A sample form letter for clients

A sample form letter for clients from insurance agents/brokers

A sample form letter

A sample form letter for clients from insurance agents/brokers

Text of the regulations with a sample broker fee disclosure form

Summary of the state regulations and sample standard forms

Insurance & liability forms in use by a major university

Checklist provides a snapshot into the many action items that must be faced on a major claim

Download a series of risk management forms for churches

Claims letters and forms

Internal audit report form - claims management internal control questionnarre

Checklist for a reinsurance claims review

Application forms from a commercial lines carrier - listed by insurance program

A sample program audit checklist used by a state to evaluate their state agency loss control programs

Form for contractor to complete about their operations (pdf)

Theft incident form

Rating basis by line of coverage - includes instructions and forms

Example of the guidelines/form used by the State of Idaho for state owned buildings

Sample clauses and forms to assist insurance industry with compliance to Gramm-Leach-Bliley Act (GLBA)

Review procedures for accuracy of claim payments and efficiency of operation

Sample form used by insurance brokers in Idaho to disclose broker service fees to clients

Checklist for auditing a firm's insurance risk management program

General and motor vehicle claims audit procedures checklist (pdf)

Checklist to be used by a claims auditor (MS Word)

For consumers insurance claims - homeowners, auto, travel, health, life, etc

Audit form for insurance underwriting operations

Checklist for auditing managed care operations

A sample form used for each MGA contract

A sample audit with focus on self-insured medical plan and prescription drug plan

Full text of a sample risk transfer clause for use in a construction contract

Full text of a sample risk transfer clause for use in a construction contract involving hazmat

Model risk transfer agreement for facilities use

Model risk transfer agreement for leasing

For claims related to injury to person or damage to personal property presented to a city

Designed for homeowners

17 page internal controls audit for property and casualty insurance operations (pdf)

Example of a form in use by a State government

Includes risk management forms as well as the full text of the manual

Example of a request for proposal for property-casualty insurance

Example of a request for proposal for an insurance broker

Example of a request for proposal for an insurance broker

Full text of a sample RFP for expert advice regarding risk financing for liability & WC

Example of a request for proposal for claims processing software

Full text of a sample RFP for a claims audit and actuarial study

Full text of a sample RFP used by a municipality for TPA services

16 page sample request for proposal for a Third Party Administrator for WC

Designed for public entities

For the risk management department

Step by step process of conducting an audit of a risk management department with commercial insurance responsibilities

Sample forms to be used in a risk management program

A series of risk management forms in use by a major university in Canada

Sample forms in use

Series of risk management forms - public entities

Checklist for conducting and insurance risk management program audit

A facility inspection guidebook for performing a facility audit for due diligence

Sample RFP for risk management consulting services

Sample document

An internal claims audit checklist (pdf)

View a variety of risk management forms in use by a California university

Full text of risk management forms in use by a major university

Includes typical claims administration questionnaires and WC policy forms

Full text of a hold harmless agreement and insurance contract requirements used by a state agency

15 chapter manual for municipalities, county governments, state agencies, etc.

OCIP/Wrap-up forms

Prepared by the state of Utah

Examples of forms in use on an OCIP project

To evaluate elements of a product liability risk control program related to product complaints and insurance claims

To evaluate elements of a product liability risk control program related to the design process

A series of yes/no questions to evaluate elements of a product liability risk control program for manufacturers

To evaluate elements of a product liability risk control program related to the manufacturing and distribution stages

To evaluate elements of a product liability risk control program related to sales and advertising

To evaluate elements of a product liability risk control program related to product recall planning

To evaluate elements of a product liability risk control program related to the product recall process

For those that manufacture, import, distribute, retail or sell consumer products

Information an insurer would want to know

This program helps state agencies develop a Risk Management culture to increase safety awareness and reduce claims

Recommended elements of a safety and loss control program for state agencies - forms, checklists

Full text of a manual in use by a state government

Property valuation forms and procedures

The following is a checklist that should help determine your loss preparedness

Reinsurance specific arbitration and mediation information - such as sample forms

Serving Insurance and Risk Management Needs of Connecticut State Agencies, Colleges, Universities

Includes a sample WC accident investigation report form

School Violent Incident Reporting Instructions

Examples of injury report codes used by a state agency

Security checklist with a focus on retail jewelry sales crime loss prevention

Series of documents, forms, etc. related to self-insurance in the State of Alaska

Download WC forms for self-insured employers in the State of Arizona

Information package for employers wishing to self-insure their WC liabilities - includes forms

Resources for Indiana WC self-insurance

Download the application to become self-insured for WC in LA

Information and forms for the Missouri self-insurance program for WC

Provides links to the WC self-insurance laws and can download the self-insurance application

Information for self insuring for workers compensation in the State of New York

Description of the program options

A brief summary of legislative changes to the Worker’s Compensation Act

Download forms, checklists and general information about self-insurance in West Virginia

Download the forms

Forms, program materials, checklists for state agencies in Nevada

Full text of the WC program and forms in use by a state government for their employees

Sample audit form

A university's workers compensation program