Massachusetts Claim Forms
Doctor’s Report of Treatment
Employee Incident Report
Employee Retraining Certification
Employer’s Documentation Sheet
Employer’s First Report of Injury or Fatality
Five Step Workers’ Compensation Checklist
Pre-Placement Physical
Supervisor’s Investigative Report
Supervisor’s Investigative Report – Home Care Industry
Transitional Modified Duty Agreement
Wage Schedule
Witness Statement
New Hampshire Claim Forms
Employee Incident Report
Employee Retraining Certification
Employer’s Documentation Sheet
Employer’s First Report of Injury or Fatality
Employer’s Supplemental Report of Injury or Fatality
Five Step Workers’ Compensation Checklist
Pre-Placement Physical
Supervisor’s Investigative Report
Supervisor’s Investigative Report – Home Care Industry
Transitional Modified Duty Agreement
Wage Schedule
Witness Statement
New Hampshire Workers’ Compensation Medical Form
