- Workers' Compensation Commission Application for Ajustment Claim - Illinois
- Worker's Report of Injury - Arizona
- Workers Compensation Inclusion/Exclusion Form - Minnesota
- Workers' Compensation Claim Form - California
- Employer's First Report of Injury or Occupational Disease - Alabama
- Employer's First Report of Injury or Disease - Wisconsin
Fillable Printable State of Alabama Worker's Compensation Information
Fillable Printable State of Alabama Worker's Compensation Information
State of Alabama Worker's Compensation Information
STATE OF ALABAMA
WORKERS'
COMPENSATION
INFORMATION
If you are injured on the job, or
contract an occupational disease,
notify your employer immediately.
Your employer will advise you of
the physician to see for authorized
medical treatment.
WORKERS' COMP INSURANCE
CARRIER______________________________________
TELEPHONE NUMBER___________________________
ASSISTANCE IS AVAILABLE UNDER THE ALABAMA WORKERS’
COMPENSATION LAW INCLUDING MEDIATION SERVICE.
FOR INFORMATION CALL:
1-800-528-5166
Alabama Department of Labor
Workers' Compensation Division
649 Monroe Street
Montgomery, AL 36131
CODE OF ALABAMA, 1975, § 25-5-290(d), REQUIRES THAT THIS NOTICE BE
POSTED
IN ONE OR MORE CONSPICUOUS PLACES IN YOUR BUSINESS.
FORM WCC#1 10/12