Workers' Compensation Common Forms
Feb 9, 2006 2:47 PM
Please Note: The documents below are in PDF format. The Board recommends using the latest version of Adobe Reader which is available as a free download from Adobe's web site.
If you require assistance with completing these forms, please contact your local WCB District Office.
Glossary of Workers' Compensation Terms
Forms can now be completed on-screen. When the form appears on your screen, put the cursor in any fillable area and type. Tab from one fillable area to the next. For check boxes, put the arrow in the box you want to check and click the mouse once.
IMPORTANT: Two-sided forms are to be printed in duplex format and submitted to the Workers' Compensation Board on a single sheet. If this is not possible, submit only the front side of the form to the Board. Do not submit reverse on a separate sheet. Parties of interest other than the Board must receive both sides of all two-sided forms.
If the form you are looking for is not listed below, e-mail the Board's Forms Department. Please note: Forms C-105, C-105.1, C-105.2, DB-120 and DB-120.1 are not available on this site. Contact your insurance carrier for these forms.
View a list of all prescribed Workers' Compensation Board forms (PDF format).
