Workers Compensation
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- FREE Workers' Compensation Fraud
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WORKERS' COMPENSATION FRAUD
It could be a ticket to jail!
The Alabama Attorney General's Office and the Alabama Department of Industrial Relations
Workers' Compensation Fraud is STEALING!
are workin
http://dir.alabama.gov/docs/posters/wc_fraudposter.pdf
State: Alabama Category: Workers Compensation
- FREE Wc Information Poster
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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
http://dir.alabama.gov/docs/posters/wc_information.pdf
State: Alabama Category: Workers Compensation
- FREE Wc Alabama First Report Of Injury Codes
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NATURE OF INJURY 01. No Physical Injury 02. Amputation 03. Angina Pectoris 04. Burn 07. Concussion 10. Contusion 13. Crushing 16. Dislocation 19. Electric Shock 22. Enucleation 25. Foreign Body 28. Fr
http://dir.alabama.gov/docs/forms/wc_froi%20codes.pdf
State: Alabama Category: Workers Compensation
- FREE Wc Application For Self Insurance (form Wc 18)
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WC Form 18 Revised 12/00
EMPLOYER'S APPLICATION FOR SELF INSURANCE (Submit one completed copy) CONFIDENTIAL To the DEPARTMENT OF INDUSTRIAL RELATIONS: The undersigned, an employer subject to the prov
http://dir.alabama.gov/docs/forms/wc_app_self_insur.pdf
State: Alabama Category: Workers Compensation
- FREE Wc Assessment Form (instructions)
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WCC10 Alabama Assessment Form Reporting period: January 1 December 31 Mailed 1st week of January Due March 1st Annually
A PENALTY OF $25.00 A DAY WILL BE ASSESSED FOR FORMS RECEIVED AFTER MARCH 1ST
http://dir.alabama.gov/docs/forms/wcc10_alabama_assessment_form_instructions.pdf
State: Alabama Category: Workers Compensation
- FREE Part Nature Cause Table
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Workers Compensation Insurance Organizations
Injury Description Codes Cause of Injury
Code I. Burn or Scald Heat or Cold Exposures Contact With Narrative Description
01. Chemicals 02. Hot Object
http://dir.alabama.gov/docs/forms/wcio_cause_table.pdf
State: Alabama Category: Workers Compensation
- FREE Wc - Combination Supplementary & Claim Summary Form
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MAIL TO: STATE OF ALABAMA Workers' Compensation Division Department of Industrial Relations Montgomery, Alabama 36131 1(800)528-5166, fax (334)353-0840 E-Mail: Earlene.Mcclease@dir.alabama.gov
COMBIN
http://dir.alabama.gov/docs/forms/wc_combination%20_rev%201-16-02_-1.pdf
State: Alabama Category: Workers Compensation
- FREE Wc Corporate Exclusions/inclusions
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(WC14/15)
EMPLOYERS NOTICE TO EXCLUDE OR INCLUDE COVERAGE FOR HIMSELF, OFFICERS OR MEMBERS
Part I: OFFICER/MEMBER Per Article 3, 25-5-50(b), Code of Alabama: Notwithstanding subsection (a), an offic
http://dir.alabama.gov/docs/forms/wc_corporate_exclusions-inclusions.pdf
State: Alabama Category: Workers Compensation
- FREE Wc Drug Free Certification Of Drug Free Workplace
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APPLICATION FOR CERTIFICATION OF DRUG-FREE WORKPLACE PREMIUM CREDIT PROGRAM
DIRECTIONS: After reading the Department's Administrative Rules and the Drug-Free Workplace Program Guide, please complete
http://dir.alabama.gov/docs/forms/wc_drug_free_cert.pdf
State: Alabama Category: Workers Compensation
- FREE Wc First Report Of Injury (wc Form 2 9/2006)
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THE USE OF THIS FORM IS REQUIRED UNDER THE PROVISIONS OF THE ALABAMA WORKERS'S COMPENSATION LAW
WCC Form 2 Rev. 9/2006
STATE OF ALABAMA
EMPLOYER'S FIRST REPORT OF INJURY OR OCCUPATIONAL DISEASE Omb
http://dir.alabama.gov/docs/forms/wc_froi_new_with_different_margins.pdf
State: Alabama Category: Workers Compensation
- FREE Microsoft Word - Document1
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2002 NAICS Codes and Titles: 6-digit Codes Only
For more information please visit: http://www.census.gov/epcd/naics02/naico602.htm 327910 325520 924110 924120 923110 926110 925110 923130 923120 925120
http://dir.alabama.gov/docs/forms/wc_naics.pdf
State: Alabama Category: Workers Compensation
- FREE Part Nature Cause Table
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Workers Compensation Insurance Organizations
Injury Description Code Nature of Injury
Code I. Specific Injury i.e., Glasses, Contact Lenses, Artificial Appliance, Replacement of Artificial Appliance
http://dir.alabama.gov/docs/forms/wcio_nature_table.pdf
State: Alabama Category: Workers Compensation
- FREE Wc Notice Of Cancellation (form Wc )
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WC FORM 9 Rev. 4-2003
NOTICE OF CANCELLATION TO THE DEPARTMENT OF INDUSTRIAL RELATIONS WORKERS' COMPENSATION DIVISION 649 MONROE STREET SUITE 3816 MONTGOMERY, AL 36131 STATE UNEMPLOYMENT COMPENSATION
http://dir.alabama.gov/docs/forms/wc_notice_of_cancellation.pdf
State: Alabama Category: Workers Compensation
- FREE Wc Notice Of Coverage
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WC FORM 8 Rev 6/2004
NOTICE OF COVERAGE TO THE DEPARTMENT OF INDUSTRIAL RELATION WORKERS' COMPENSATION DIVISION 649 MONROE STREET SUITE 3816 MONTGOMERY, AL 36131 STATE UNEMPLOYMENT COMPENSATION TAX N
http://dir.alabama.gov/docs/forms/wc_notice_of_coverage.pdf
State: Alabama Category: Workers Compensation
- FREE Wc Order Form
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The Department of Industrial Relations makes available the following aid to assist the public in becoming knowledgeable of Departmental operations. UNIT TOTAL DESCRIPTION PRICE AMOUNT QTY. $35.00 $___
http://dir.alabama.gov/docs/forms/wc_order_form.pdf
State: Alabama Category: Workers Compensation
- FREE Injury Description Table
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Injury Description Table Part of Body Code I. Head Any Combination of Below Parts 10. Multiple Head Injury 11. Skull 12. Brain 13. Ear(s) IAIABC Subsequent Report of Injury (SROI) Codes 13A 13B 13C 14
http://dir.alabama.gov/docs/forms/wcio_part_table.pdf
State: Alabama Category: Workers Compensation
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