Nevada Forms
7 State Forms found
| name | number | revision | print or send online | |
|---|---|---|---|---|
ELECTION OF LUMP SUM PAYMENT OF COMPENSATION FOR DISABILITY GREATER THAN 30 |
D-10b | (rev. 2/23) | ||
PERMANENT PARTIAL DISABILITY AWARD CALCULATION WORK SHEET |
D-9a | (rev.2/23) | ||
PERMANENT PARTIAL DISABILITY AWARD CALCULATION WORK SHEET FOR DISABILITY OVER 30 PERCENT BODY BASIS |
D-9b | (rev. 2/23) | ||
PERMANENT WORK-RELATED MENTAL IMPAIRMENT RATING REPORT WORK SHEET |
D-9c | (rev.10/24) | ||
PERMANENT TOTAL DISABILITY REPORT OF EMPLOYMENT |
D-14 | rev. 7/99 | ||
PHYSICIAN’S AND CHIROPRACTOR’S PROGRESS REPORT CERTIFICATION OF DISABILITY |
D-39 | (Rev. 10/24) | ||
Temporary Partial Disability Calculation Worksheet |
D-46 | (7/99) | ||
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