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Workers' Compensation Program ManagerShelia Fairfield, BSN, RN770-887-2461 x 202140Injury Packet:Individual Forms:
Employee/Accident Illness Report Updated July 2020
Workers' Compensation Panel of Physicians Updated July 2020 (English)
Workers' Compensation Panel of Physicians Updated July 2020 (Spanish)
Bill of Rights for the Injured Worker Updated July 2019 (English)
Bill of Rights for the Injured Worker Updated December 2020 (Spanish)
Authorization and Consent to Release Medical Information WC207
Refusal of Medical Treatment Form
Workers' Compensation Mileage Claim Form
Student or Visitor Accident Report Updated January 2021
State Board of Workers' Compensation