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Iowa Form Center


Welcome to the most extensive library of workers' compensation forms available anywhere. Almost 3,000 forms are available for your immediate download and use. Our forms, all of which have been custom programmed by WorkersCompensation.com for Type & Save functionality, are available for individual purchase below.

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(froi) Employers First Report of Injury (FROI) - 12/98
Iowa FROI Instructions - 7/98
(100) Form 100 - Original Notice and Petition - 11/06
(100a) Form 100A - 85.39 Petition - 1/09
(100b) Form 100B - 85.70 Petition - 11/06
(100c) Form 100C - 85.27 Petition - 11/06
(9) Full Commutation - 11/06
(9a) Partial Commutation - 11/06
(fcc) Full Commutation Checklist - 11/03
(021) Agreement for Settlement - 7/05
(afsc) Agreement for Settlement Checklist - 7/99
(025) Compromise Case Settlement - 7/05
(ccsc) Compromise Case Settlement Checklist - 7/99
(aco) Application and Consent Order under 85.21 - 9/02
(drcr) Dispute Resolution Conference Report - 9/98
(arinfo) Release of Information - Patient Waiver - 11/04
(hro) Hearing Report and Order Approving Same - 7/99
(phcr) Prehearing Conference Report - 8/02
(coe) Corporate Officer Exclusion - 6/03
(doff) Application for Deferral of Filing Fee - 7/99
(cir) Copy/Information Request - 12/04
(caa) Charge Account Application - 6/03
(mtf) Medical Transmittal Form - 3/00
(payr) Payment Activity Report - 11/03
(159) Combination Settlement - 7/05
(161) Contingent Settlement - 7/05
(163) Claimant's Statement - 7/05
(169) Waiver for Release of Records - 7/05
(171) Claimant's Confidential Information Form - 11-06