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Hawaii Forms

74 State Forms found

name	number	revision	print or send online
FORM WC-5 EMPLOYEE’S CLAIM FOR WORKERS’ COMPENSATION BENEFITS	WC-5	(Rev. 9/23)
WC-1 EMPLOYER’S REPORT OF INDUSTRIAL INJURY	WC-1	rev. 01/2022
FORM WC-2 PHYSICIAN'S REPORT	WC-2	Rev. 01/2022
Public Accommodations and Access to State Services Pre-Complaint Questionnaire Information	No Form Number	Revised: 4/2023
CL-1 APPLICATION FOR MINOR'S CERTIFICATE OF EMPLOYMENT	CL-1	(Rev. 7/23)
CERTIFICATE OF COMPETENCY APPLICATION	No Form Number	(Rev. 11/24)
FORM LIR#27 APPLICATION FOR CERTIFICATE OF COMPLIANCE WITH SECTION 3-122-112, HAR	LIR#27	(Rev. 10/05)
Employment Pre-Complaint Questionnaire Information	No Form Number	Revised 04/2023
FORM HC-4 HEALTH CARE COVERAGE QUESTIONNAIRE	HC-4	(Rev. 10/05)
FORM HC-5 EMPLOYEE NOTIFICATION TO EMPLOYER FOR CALENDAR YEAR 2022	HC-5	Rev.09/21
FORM HC-6 EMPLOYER'S REQUEST FOR PREMIUM SUPPLEMENTATION	HC-6	(Rev. 02/22)
FORM UC-25, NOTIFICATION OF CHANGES	UC-25	Rev. 07/18
WAIVER OF EMPLOYER’S EXPERIENCE RECORD	Form UI-UC-86	Rev 07/18
FORM WC-14 EMPLOYEE'S WAGE-REPORT FOR FIFTY-TWO WEEKS	WC-14	(Rev. 1/18)
FORM WC-21 APPLICATION FOR SELF-INSURANCE AUTHORIZATION	WC-21	(Rev. 10/05)

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Disclaimer: These forms may not be the most recent version. Hawaii 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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