New Jersey Forms
64 State Forms found
| name | number | revision | print or send online | |
|---|---|---|---|---|
Report of Compensation Paid (FOR THE PERIOD JULY 1, 2024, TO JUNE 30, 2025) |
ACG-1 | (5/25) | ||
EMPLOYEE CLAIM PETITION |
WC-365 | 8/26/2015 | ||
WORKERS COMPENSATION – FIRST REPORT OF INJURY OR ILLNESS - ONLINE ONLY |
Form IA-1 | r 1-1-02 | ||
ADDENDUM TO ORDER FOR TOTAL DISABILITY |
WC-377i | (r.3/19/13) | ||
Affidavit of Dependent or Dependent(s) Representative in Support of Settlement Under N.J.S.A. 34:15-20 |
WC-366.1 | (R-9-05) | ||
AMENDED ORDER |
WC-8 | (r. 1/01/17) | ||
ANSWERING STATEMENT TO MOTION FOR TEMPORARY AND-OR MEDICAL BENEFITS |
WC-170i | (r-6-15-07) | ||
APPLICATION FOR COMMUTATION |
WC-60 | (R-6-07) | ||
APPLICATION FOR INFORMAL HEARING |
WC(CF)-66 | R-2-06 | ||
APPLICATION FOR REVIEW OR MODIFICATION OF FORMAL AWARD |
WC-368 | r.8/26/2015 | ||
DECISION OF DISMISSAL - Second Injury Fund |
wc-47 | (r. 01/01/17) | ||
DEPENDENCY CLAIM PETITION |
WC-366 | ( r. 8/26/2015) | ||
COMPLAINT OF DISCRIMINATION |
SCF-4 | (R 05-13) | ||
EMPLOYEE CLAIM PETITION SUPPLEMENTAL PAGE |
WC-365.1 | 5/7/2015 | ||
Generic Order |
WC(DO)-100 Generic | (r.7/10/2013) | ||
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