Nevada Forms
10 State Forms found
| name | number | revision | print or send online | |
|---|---|---|---|---|
ASSIGNMENT TO DIVISION FOR WORKERS' COMPENSATION BENEFITS |
D-18 | rev. 02/04 | ||
Firemen and Police Officers' Hearing Examination Form |
OD-5 | rev. 06/14 | ||
Firefighters and Police Officers Sample Letter |
OD-6 | rev. 11/22 | ||
Brief Description of Your Rights and Benefits If You Are Injured on the Job or have an Occupational Disease - Information Poster |
D-1 | rev. 02/24 | ||
Index of Claims System – Claim Registration - ONLINE ONLY |
D-38 | (Rev 12/18) | ||
TPA Information Form |
No Form Number | 10/2015 | ||
FY16 WCS Workers' Compensation Claims Activity Report |
FY16 | rev. 01/17 | ||
FY17 WCS Workers' Compensation Claims Activity Report |
FY17 | 01/18 | ||
Supervisor Workers’ Compensation Checklist |
No Form Number | Rev 03-16 | ||
FY24 WCS Workers' Compensation Claims Activity Report |
FY24 | R&A rev. 09/23 | ||
Disclaimer: These forms may not be the most recent version. Nevada 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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