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Alabama Forms

19 State Forms found

name	number	revision	print or send online
EMPLOYER’S FIRST REPORT OF INJURY OR OCCUPATIONAL DISEASE	WCC Form 2	Rev. 10/2012
SUPPLEMENTARY REPORT	WC Form 3	Revised 10-12
WORKERS' COMPENSATION INFORMATION	No Form Number	No Form/Rev Date
WC Order Form	No Form Number	No Form/Rev Date
Alabama First Report of Injury Codes	No Form Number	No Form/Rev Date
APPLICATION FOR CERTIFICATION BILL SCREENING AND UTILIZATION REVIEW QUALIFICATIONS FOR UTILIZATION REVIEW ENTITY	WC 50	No Form/Rev Date
APPLICATION FOR CERTIFICATION OF DRUG-FREE WORKPLACE PREMIUM CREDIT PROGRAM	No Form Number	No Form/Rev Date
APPLICATION FOR RE-CERTIFICATION OF DRUG-FREE WORKPLACE PREMIUM CREDIT PROGRAM	No Form Number	No Form/Rev Date
BASIC CLAIM HANDLING MANUAL	No Form Number	March 2021
Injury Description Codes Cause of Injury	No Form Number	Effective September 23, 2002
CLAIMS SUMMARY FORM	WC 4	Revised 10-12
COMBINATION SUPPLEMENTARY & CLAIM SUMMARY FORM	No Form Number	01/23/2019
DRUG-FREE WAY TO BE: A Step-by-Step Guide to a Drug-Free Workplace	wc 80	July, 2015
EMPLOYER’S APPLICATION FOR SELF INSURANCE	WC Form 18	Revised 10/12
Assessment Login: Assessment Information Instructions on submitting WCC 10 Assessment Claims Report	WCC10 Instructions	Undated Form

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Disclaimer: These forms may not be the most recent version. Alabama may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on this site. Please check official sources.

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