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Oklahoma Form Center


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Oklahoma Workers' Compensation Notice and Instruction to Employers and Employees. (Mandatory Form Color: Peach) - 7/05
(form1a-sp) A Viso Instrucciones Para Todos Los Empleados Y Empleadores Sobre La Compensacion Para Los Trabajadores De Oklahoma. (Mandatory Form Color: Tan) - 8/05
(form1b) Employer's Application for Permission to Carry Its Own Risk Without Insurance. (3 page form) - 7/07
(form1x) Compromise Settlement. - 2/06
(form2) Employers' First Notice of Injury. - 2/06
(form3) Employers' First Notice of Accidental Injury and Claim for Compensation. (Mandatory Form Color: Yellow) - 2/06
(form3a) Employee's First Notice of Accidental Injury and Claim for Compensation. (Mandatory Form Color: Gold) - 2/06
(form3b) Employee's First Notice of Occupational Disease and Claim for Compensation. 11/02 (Mandatory Form Color: Grey) - 2/06
(form3e) Employee's Claim for Benefits for Combined Disabilities Against the Last Employer (Mandatory Form Color: Turquoise) - 2/06
(form3f) Employee's Claim for Benefits From The Special Indemnity Fund. (Mandatory Form Color: Tan) - 2/06
(form4) Claim form. - 2/06
(form4a) Attending Physician's Progress Report. - 2/06
(form5) Physician's Release and Restrictions. - 2/06
(form7) Designation of Service Agent. - 10/09
(form9) Motion to Set for Trial. - 3/08
(form10) Answer and Pretrial Stipulation Offered by Respondent. (Mandatory Form Color: Green) - 1/07
(form10a) Respondent's Response to Claimant's Form A Application For Change of Physician. (Mandatory Form Color: Blue - 2/06
(form10m) Response to Request for Payment of Charges for Medical or Rehabilitative Services. (Mandatory Form Color: Ivory) - 2/06
(form11) Motion to Terminate Temporary Compensation. (Mandatory Form Color: Cherry (Smooth Finish) - 7/05
(form13) Request for Pre-hearing Conference. - 3/08
(form14) Agreement Between Employer and Employee as to Fact with Relation to an Injury and Payment of Compensation. - 2/06
(form17) Disclosure Statement. - 2/06
(form18) Request For Administrative Review Of Disputed Medical Charges. (Mandatory Form Color: Orchid) - 2/06
(form19) Request for Payment of Charges for Medical or Rehabilitative Services/ Notice of Appeal of Administrative Order. - 2/06
(form20) Proof Of Loss For Spouse And Children. (Mandatory Form Color: Blue) - 2/06
(form26) Memorandum of Agreement as to Fact with Relation to an Injury and Payment of Disability Compensation. (Mandatory Form Color: Blue) - 2/06
(form93) Application And Order For Leave To Withdraw As Attorney Of Record. - 2/06
(form99) Pauper's Affidavit. (two-sided form) - 2/06
(form100) Claimant's Application And Order For Dismissal. - 2/06
(form463) Application for Physicians Seeking Appointment as an Independent Medical Examiner. - 2/06
(form626) Application for Medical Case Manager - 2/06
(form862) Application for Appointment as a Vocational Rehabilitation Evaluator. - 11/01
(form926) Application for Appointment as Certified Workers' Compensation Mediator - 5/07
(forma) Claimant's Application for Accelerated Docket for Change of Physician - 2/06
(forma-order) Order Approving Change of Physician Selected by Employer - 5/06
(formcjp) Certificate to Joint Petition. - 2/06
(formcs) Certificate to Settle by Compromise Settlement. - 7/05
(formjp) Joint Petition. - 3/08
(osf300) Vendor Maintenance Form - 10/03
(aipre) Appointment of Independent Physician or Rehabilitation Evaluator. - 08/02
(crform) Copy Request Form. - 2/06
(rcforms) Request for Court Forms - 5/07
(rpcform) Prior Claims Request Form - 12/05
(rptmediation) Report of Mediation Conference - N/D
(poform) Publication Order Form - 7/03
(vmrform) Voluntary Mediation Request Form - 1/03
(mediationagreement) Mediation Agreement - N/D