Applications:

State Insurance Fund application:
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Claims Related Forms:

Employers Report of Work-Related Accident (C-2):
NOTICE TO ALL EMPLOYERS:
Please be advised that the Workers' Comp Board has revised the Employer's Report of a Work Related Injury/Illness form, aka C-2. (See forms) The revision of this form is to develop a more "user-friendly" format to collect additional information needed for quick processing and to better address questionable claims.
Although not mandatory at this time, we suggest that you begin using this form for all future claims. As of 1/1/09 this new C-2 form will be the only version recognized by the WCB for claims arising out of and in the course of employment.
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Employers Report of Change in Employment Status (C-11):
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Employers Statement of Wage Earnings (C-240):
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Employer's Request for Reimbursement (C-107):
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