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City of Wilson, North Carolina

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Management Services

  • Workers' Compensation Forms

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Home » Departments » Management Services » Workers' Compensation Forms

Workers' Compensation Forms

Downloads

Packet Table of Contents Packet Table of Contents (61 KB)
Employee Instructions for Reporting Workers' Compensation Injury Employee Instructions for Reporting Workers' Compensation Injury (64 KB)
Supervisor's Workers' Compensation Injury Reporting Procedures Supervisor's Workers' Compensation Injury Reporting Procedures (25 KB)
Medical Services Pass Medical Services Pass (8 KB)
Workers' Compensation Appointment Log Workers' Compensation Appointment Log (14 KB)
Workers' Compensation Post Accident Evaluation Workers' Compensation Post Accident Evaluation (67 KB)
Workers' Compensation Frequently Asked Questions Workers' Compensation Frequently Asked Questions (62 KB)
Prior Health History Questionnaire Prior Health History Questionnaire (63 KB)
Notice to Employees Receiving Workers Compensation Benefits Notice to Employees Receiving Workers Compensation Benefits (60 KB)
Form 18 Memorandum Form 18 Memorandum (53 KB)
Form 18 Form 18 (64 KB)
Complete Packet Complete Packet (369 KB)

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