Worker’ Compensation Forms
Click on the form to download.
| Form | Description | Completed By |
| DWC6 | Supplemental Report of Injury | Supervisor/Manager |
| 504 Workers’ Compensation Insurance Acknowledgement | Employee | |
| DWC3 | Employer's Wage Statement | HR Generalist |
| Leave Authorization Form | Election to Use Accruals | Employee |
Bona Fide Job Offer (Example )  | Supervisor/Manager/HR Generalist |
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