Related links
WC-5 Employees Claim for Workers Compensation
NO. YES. SIGNATURE - SECTION 8. I hereby present my claim for compensation for disability resulting from the foregoing injury/illness arising out of and in
Learn more
EMPLOYEE INCIDENT REPORT FORM (Form 5-WC)
Please send completed form to Jon Glick, Workers Compensation Manager, Controllers Office, Parsons Hall Room 109. Any questions, call ext. 7951 or email Jon.
Learn more
Disputed Claim for Medical Treatment
GENERAL INFORMATION. An aggrieved party files this dispute with the Office of Workers Compensation Medical Services Director by mail, email or fax. This.
Learn more