Form 044 – Employee’s Notification of Intent to Leave Locality or State, and to Change Doctor or Hospital
Form 130 – Insurance Company’s and Self Insurer’s Final Report of Injury and Statement of Total Losses
Form 141 – Initial Statement of Insurance Carrier or Self Insurer With Respect to Payment of Benefits
Form 441 – Insurance Carriers/Self Insurer’s Notice of Further Investigation of a Workers’ Compensation Claim