Maryland Forms
14 State Forms found
| name | number | revision | print or send online | |
|---|---|---|---|---|
APPLICATION FOR SELF-INSURANCE AND INSTRUCTIONS |
MD WCC A-05 | (Rev. 02/2009) | ||
EMPLOYER OR SELF-INSURED EMPLOYER REQUEST FOR CHANGE OF ADDRESS |
WCC H22R | (09/12/08) | ||
EXCLUSION FORM |
Form IC-16 | 09/2019 | ||
INCLUSION FORM FOR SOLE PROPRIETORS/PARTNERS ELECTION |
Form C-15R | Rev. 09/2019 | ||
INFORMATION REPORT |
Form IC-1 | (Rev. 6/20) | ||
INSURER REQUEST FOR CHANGE OF ADDRESS |
WCC H13R | 09/12/08 | ||
REQUEST TO ENTER APPEARANCE OF COUNSEL FOR EMPLOYER-INSURER |
WCC Form C26R | Rev. 05/2021 | ||
SELF-INSURED EMPLOYER'S APPLICATION to ADD a SUBSIDIARY |
FORM A-05S | (rev 2/2009) | ||
SOLE PROPRIETOR'S STATUS AS A COVERED EMPLOYEE FORM |
MD WCC Form IC-02 | (09/2019) | ||
CLAIMANT'S QUESTIONNAIRE |
WCC Form H-37 | (Rev 08/15/07) | ||
EMPLOYER'S QUESTIONNAIRE |
MD WCC H-38 | 5/05/06 | ||
PARTNER'S STATUS AS A COVERED EMPLOYEE |
MD WCC Form IC-04 | (03/2018) | ||
JOINT ELECTION FORM |
FORM IC-03 | 09-2019 | ||
Additional Payroll Office Template |
MDWCC Form IC-1 Attachment | (Rev. 7/2010) | ||
Disclaimer: These forms may not be the most recent version. Maryland 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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