Workers Compensation - Workmans Comp Service Center

Popular Features

WorkCompResearch
CompBob! Joke of the Week
CompTalk! Radio
CompTalk! Video
Send A Get Well Card
Post Job/Resume
Recommend This Site

Get Our E- Newsletter

Fresh News, Hot Topics, CompTalk! Radio and Video and More.

Nevada 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.

Try a Forms Membership! If you have an ongoing need for multiple forms, and want complete and unrestricted access to our entire 3,000 "Type & Save" Forms Library, you may register for immediate access here. Annual subscribers to this service get the benefit of our forms updating system, making sure the forms they use are the most current available.

= Indicates this Type & Save form is available for individual purchase.

= FlashFormSSL Enabled.
Click here to learn more about auto-populating forms with FlashForm SSL.

		(c-1) Notice of Injury or Occupational Disease (Incident Report). - 10/05
		(c-3) Employer's Report of Industrial Injury or Occupational Disease. - 11/05
		(c-4) Employee's Claim for Compensation/Report of Initial Treatment. - 1/03
		(d-1) Informational Poster - Displayed by Employer. - 10/07
		(d-2) Brief Description of Your Rights and Benefits if You Are Injured on the Job. - 10/07
		(d-5) Wage Calculation Form for Claims Agent's Use. - 7/99
		(d-6) Injured Employee's Request for Compensation. - 7/99
		(d-7) Explanation of Wage Calculation. - 7/99
		(d-8) Employer's Wage Verification Form. - 7/99
		(d-9a) Permanent Partial Disability Award Calculation Worksheet. - 6/03
		(d-9b) Permanent Partial Disability Award Calculation Worksheet for Disability Over 25 Percent Body Basis. - 6/03
		(d-10a) Election of Method of Payment of Compensation. - 7/99
		(d-10b) Election of Method of Payment of Compensation for Disability Greater than 25 Percent. - 7/99
		(d-11) Reaffirmation of Lump Sum Request. - 7/99
		(d-12a) Request for Hearing - Contested Claim. - 12/07
		(d-12b) Request for Hearing - Uninsured Employer. - 12/07
		(d-13) Injured Employee's Right to Reopen a Claim Which Has Been Closed. - 7/99
		(d-14) Permanent Total Disability Report of Employment. - 7/99
		(d-15) Election for Nevada Workers' Compensation Coverage for Out-of-State Injury. - 7/99
		(d-16) Notice of Election for Compensation Benefits Under the Uninsured Employer Statutes. - 2/04
		(d-17) Employee's Claim for Compensation - Uninsured Employer. - 2/04
		(d-18) Assignment of Claim for Workers' Compensation - Uninsured Employer. - 2/04
		(d-21) Fatality Report. - 7/99
		(d-22) Notice to Employees - Tip Information. - 7/99
		(d-23) Employee's Declaration of Election to Report Tips. - 7/99
		(d-24) Request for Reimbursement of Expenses for Travel and Lost Wages. - 6/06
		(d-25) Affirmation of Compliance with Mandatory Industrial Insurance Requirements. - 3/01
		(d-26) Application for Reimbursement of Claim-Related Travel Expenses. - 4/04
		(d-27) Interest Calculation for Compensation Due. - 7/99
		(d-28) Rehabilitation Lump Sum Request. - 7/99
		(d-29) Lump Sum Rehabilitation Agreement. - 7/99
		(d-30) Notice of Claim Acceptance. - 4/07
		(d-31) Notice of Intention to Close Claim. - 10/03
		(d-32) Authorization Request for Additional Chiropractic Treatment. - 7/99
		(d-33) Authorization Request for Additional Physical Therapy Treatment. - 7/99
		(d-34) Health Care Financing Administration 1500 Billing Form. - 12/90
		(d-35) Request for a Rotating Rating Physician or Chiropractor. - 8/04
		(d-36) Request for Additional Medical Information and Medical Release. - 12/07
		(d-37) Insurer's Subsequent Injury Checklist. - 12/03
		(d-38) Injured Worker Index System Claims Registration Document. - 2/04
		(d-39) Physician's Progress Report - Certification of Disability. - 7/99
		(d-41) International Association of Industrial Accident Boards and Commissions POC 1. - 10/96
		(d-43) Employee's Election to Reject Coverage and Election to Waive the Rejection of Coverage for Excluded Persons. - 2/04
		(d-44) Election of Coverage by Employer; Employer Withdrawal of Election of Coverage. - 2/04
		(d-45) Sole Proprietor Coverage. - 2/04
		(d-46) Temporary Partial Disability Calculation Worksheet. - 7/99
		(d-47) Noncompliance Notice. - 2/04
		(d-48) Proof of Coverage Notice. - 5/97
		(d-49) Information Page. - 1991
		(d-50) Policy Termination, Cancellation and Reinstatement Notice. - 8/98
		(d-52) Alternative Choice of Physician or Chiropractor and Referral to a Specialist. - 7/09
		(od-1) Firemen and Police Officers' Medical History Form. - 7/99
		(od-2) Firemen and Police Officers' Lung Examination Form. - 7/99
		(od-3) Firemen and Police Officers' Extensive Heart Examination Form. - 7/99
		(od-4) Firemen and Police Officers' Limited Heart Examination Form. - 7/99
		(od-5) Firemen and Police Officers' Hearing Examination Form. - 7/99
		(od-6) Firemen and Police Officers' Sample Letter. - 7/99
		(od-7) Information Regarding Physical Examinations for Firemen and Police Officers. - 7/99
		(od-8) Occupational Disease Claim Report - 6/06

Member Login

Nevada Form Center