Forms

Policy & Marketing Forms

Contact Sheet

GEWCT Brochure

Claims Forms

Reporting a Claim

WC-BOR

Bill of Rights (Revised July 2016)

WC-P1

Panel of Physicians (Revised 2006)

WC-1

Employer's First Report of Injury (Revised 2017)

WC-6

Wage Statement (Revised 2017)

WC-207

Authorization and Consent to Release Medical Information (Revised 2011)

WC-240

Notice to Employee of Suitable Employment (Revised 2014)

Statement of the Injured

Supervisor's Report

Post Offer of Employment Medical Inquiry

Post Offer of Employment Medical Inquiry - español