Workers' Compensation
Workers' Compensation Forms
- Employer's Report of Occupational Injury or Illness
- Medical Mileage Expense Form
- Predesignation of Personal Physician Form
English | Spanish
- Supervisor's Incident Investigation Report Form
- Workers' Compensation Claim Form (DWC1) & Notice of Potential Eligibility (version 01-01-16)
- Accommodation Equipment Form
- Interactive Conference Summary Form
Company Nurse
To report a work injury please call:
1-877-518-6703
Company Nurse Information
Company Nurse - Medical Triage Service Video
PASSWORD: cntraining