Workers' Compensation

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Employee

  1. Workers’ Compensation Claim Form (DWC 1)
  2. Medical Panel
  3. Treatment Referral & Medical Authorization
  4. PRIME Covered EmployeeÌýNotificationÌýof Rights in English | en Español
  5. Personal Physician Designation: Rules | Form

Manager and Supervisors

  1. Reporting Procedures for Work Related Injuries
  2. REQUIRED:ÌýWorkers’ Compensation Claim Form (DWC 1)
  3. REQUIRED:ÌýSupervisor’s Report Of Employee Incident Or Injury
  4. REQUIRED:ÌýÌýSupervisor's Supplemental Questionnaire
  5. OPTIONAL:ÌýÌýQuestionable Workers’ Compensation Injury Information Form

    Ergonomics

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