Forms

Policy & Marketing Forms

Contact Sheet

GEWCT Brochure

Claims Forms

Reporting a Claim

WC-BOR

Bill of Rights (Revised 2023)

WC-1

Employer's First Report of Injury (Reviewed 2024)

WC-6

Wage Statement (Reviewed 2024)

WC-207

Authorization and Consent to Release Medical Information (Reviewed 2024)

WC-240

Notice to Employee of Suitable Employment (Reviewed 2024)

Request New Panel of Physicians
Will Open Email Window

Statement of the Injured

Supervisor's Report

Post Offer of Employment Medical Inquiry

Post Offer of Employment Medical Inquiry - español