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State Claim Forms & Publications

Alabama

Alabama Department of Industrial Relations - Workers' Compensation
http://dir.alabama.gov/wc/

First Report of Injury
http://dir.alabama.gov/docs/forms/wc_first_report_injury.pdf

Fraud
http://dir.alabama.gov/docs/posters/wc_fraudposter.pdf

Florida

Florida Department of Financial Services Div.
http://www.fldfs.com/wc/index.htm

First Report of Injury
http://www.fldfs.com/wc/pdf/DFS-F2-DWC-1.pdf

Wage Statement
http://www.fldfs.com/wc/pdf/DFS-F2-DWC-1a.pdf

Fraud
http://www.fldfs.com/fraud

Benefit Delivery Process
http://www.fldfs.com/wc/pdf/flowchart.pdf

Return to Work Program
http://www.fldfs.com/wc/pdf/ObligationToRehire.pdf

Florida Workers Compensation System Guide
Florida Work Comp System Guide-v2.pdf

Georgia

Georgia State Board of Workers' Compensation
http://sbwc.georgia.gov/02/sbwc/home/0,2285,11394,008,00.htm

First Report of Injury
http://sbwc.georgia.gov/vgn/images/portal/cit_1210/2/61/13139736wc001.pdf

Wage Statement
http://sbwc.georgia.gov/vgn/images/portal/cit_1210/45/20/13139703wc006.pdf

Return to Work Program
http://sbwc.georgia.gov/vgn/images/portal/cit_1210/23/39/13901605earlyreturn.pdf

Kentucky

Kentucky Office of Workers' Claims
http://www.labor.ky.gov/workersclaims/

First Report of Injury
http://www.labor.ky.gov/NR/rdonlyres/190EAAB8-EEC6-4C1B-8341-A1981D10465A/0/IA1.pdf

Wage Certification
http://www.labor.ky.gov/NR/rdonlyres/B2762968-634F-4C35-B72D-EF69B8E2BA99/0/aww1.pdf

Workers Compensation Guidebook
2008 Kentucky Workers Compensation Guidebook.pdf

Mississippi

Mississippi Workers' Compensation Commission
http://www.mwcc.state.ms.us/

First Report of Injury
http://www.mwcc.state.ms.us/forms/1streport.pdf

Frequently Asked Questions
http://www.mwcc.state.ms.us/FAQ/faq.html

South Carolina

South Carolina Workers' Compensation Commission
http://www.wcc.state.sc.us/

South Carolina Workers' Compensation Commission
http://wcc.sc.gov/Welcome+and+Overview/Workers+Comp+SC/

South Carolina Department of Insurance
http://www.doi.sc.gov/

South Carolina Secretary of State
http://www.scsos.com

First Report of Injury
http://www.wcc.state.sc.us/NR/rdonlyres/9D6F75F5-0CAF-459E-8A81-E8B17D343F52/0/Form12A.pdf

Other Forms
http://www.wcc.state.sc.us/Welcome+and+Overview/Forms/

Tennessee

Tennessee Department of Labor & Workforce Development
http://www.state.tn.us/labor-wfd/wcomp.html

Tennessee Department of Commerce and Insurance
http://www.state.tn.us/commerce/

Tennessee Department of State
http://www.state.tn.us/sos/

First Report of Injury
http://www.state.tn.us/labor-wfd/forms/c20.pdf

Wage Statement
http://www.state.tn.us/labor-wfd/forms/c41.pdf

 
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