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Workers Compensation Form IA-1

Workers Compensation Form Example

Workers Compensation Form IA-1 Supplement

Lost Time and Return to Work Form

Participation and Release Form

Auto Insurance Card

Use this form to report an incident to Risk Management. Incidents should also be immediately reported to DPS.
Incident Mini-Form -Any employee related injury should not be reported with this form.  See Workers Comp.

 Agent/Broker Form -The Risk Management Department will use the contact information submitted as contacts for insurance Request for Proposals.            

               



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