Workers Compensation

FREE Workers' Compensation Fraud

http://dir.alabama.gov/docs/posters/wc_fraudposter.pdf
State: Alabama   Category: Workers Compensation
FREE Wc Information Poster
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
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 Certification For Bill Screening

http://dir.alabama.gov/docs/forms/wc_app_for_cert.pdf
State: Alabama   Category: Workers Compensation
FREE Wc Application For Self Insurance (form Wc 18)

http://dir.alabama.gov/docs/forms/wc_app_self_insur.pdf
State: Alabama   Category: Workers Compensation
FREE Wc Assessment Form (instructions)
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
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 Claim Summary Form

http://dir.alabama.gov/docs/forms/wc_claim_summ_form.pdf
State: Alabama   Category: Workers Compensation
FREE Wc - Combination Supplementary & Claim Summary Form
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
(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
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)
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
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
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 )

http://dir.alabama.gov/docs/forms/wc_notice_of_cancellation.pdf
State: Alabama   Category: Workers Compensation
FREE Wc Notice Of Coverage
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
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
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
FREE Wc Re-certification Of Drug Free Workplace

http://dir.alabama.gov/docs/forms/wc_drug_free_recertification.pdf
State: Alabama   Category: Workers Compensation
FREE Wc Supplamentary Report

http://dir.alabama.gov/docs/forms/wc_supp_report.pdf
State: Alabama   Category: Workers Compensation

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