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Workers Compensation Form IA-1

Workers Compensation Form Example

Workers Compensation Form IA-1 Supplement

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 Compensation Forms.

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



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