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EMPLOYERS - WHAT TO DO IF AN EMPLOYEE IS INJURED
ARIZONA
Employer's Report of Injury
Worker's Report of Injury
CALIFORNIA
Employers' Report of Injury (Form 5020),
Workers' Compensation Claims Form (Form DWC-1)
NEW - Cal/OSHA Reporting Requirements For Serious Claims
COLORADO
Employers' Report of Injury
Workers' Compensation Information
Medical Services Order Form
IDAHO
Employer's Report of Injury
Medical Services
Order Form
NEVADA
Employer's Report of Injury
Notice of Injury or Occupational Disease (Incident Report)
Medical Services
Order Form
OREGON
Employer's Report of Injury
Medical Services
Order Form
UTAH
Employer's Report of Injury (Employee / Employer Information)
Medical Services Order Form
Promptly forward all completed forms to CompWest via fax at
(866) 506-5800
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Copyright 2008, CompWest Insurance Company
Copyright
2008, CompWest Insurance Company