- Workers' Compensation Commission Application for Ajustment Claim - Illinois
- Employer's First Report of Injury or Occupational Disease - Alabama
- Workers' Compensation Claim Form - California
- Employer's First Report of Injury or Disease - Wisconsin
- Worker's Report of Injury - Arizona
- Workers Compensation Inclusion/Exclusion Form - Minnesota
Fillable Printable Workers' Injury Reports Form - Maryland
Fillable Printable Workers' Injury Reports Form - Maryland
Workers' Injury Reports Form - Maryland
