All Delaware Workers Compensation forms

Workers Compensation - Claims

• Checklists - Worker's Compensation Claims US-04076BG

Workers Compensation - Discovery

• Claimant's First Set of Interrogatories to Employer and Carrier US-01365
• Claimant's First Set of Requests for Production US-01366
• Requests for Production of Documents to Carrier US-01367

Workers Compensation - Injury and Claims

• Notice of Work-Related Injury and Claim for Worker's Compensation US-01495BG

Workers Compensation - Injury Reports

• Report of Injury by Employee to Employer to be Filed with Worker's Compensation Agency of State US-01494BG

Workers Compensation - Insurance

• Agreement of Employee Service Provider to Maintain Workers Compensation Insurance US-01625BG

Workers Compensation - Official - Petitions

• Petition To Determine Additional Compensation Due To Injured Employee DE-002-WC
• Petition To Determine Compensation Due To Injured Employee DE-003-WC
• Petition to Determine Disfigurement DE-004-WC
• Petition for Commutation DE-005-WC
• Petition For Review DE-007-WC

Workers Compensation - Official - Receipts

• Receipt of Compensation Paid DE-001-WC
• Receipt DE-006-WC

Workers Compensation - Questionnaires

• Workers Compensation Questionnaire US-Q1038