| Title |
Last Updated |
| Employees Notice Of Claim For Benefits From The Multiple Injury Trust Fund |
July 1, 2016 |
| Employees First Notice Of Occupational Disease And Claim For Compensation |
July 1, 2016 |
| Employees Claim For Benefits For Combined Disabilities Against The Last Employer |
July 1, 2016 |
| Compromise Settlement Appendix |
July 1, 2016 |
| Compromise Settlement |
July 1, 2016 |
| Compromise Settlement |
July 1, 2016 |
| Compromise Settlement (Death Claim) |
July 1, 2016 |
| Application For Vocational Rehabilitation Evaluator |
July 1, 2016 |
| Application For Physicians Seeking Appointment As An Independent Medical Examiner |
July 1, 2016 |
| Application For Medical Case Manager |
July 1, 2016 |
| Claimants Application For Change Of Physician And Request For Hearing |
July 1, 2016 |
| Application For Appointment As Certified Workers Compensation Mediator |
July 1, 2016 |
| Application For Appointment As Certified Workers Compensation Mediator |
July 1, 2016 |
| Application And Order For Leave To Withdraw As Attorney Of Record |
July 1, 2016 |
| Answer And Pretrial Stipulation Offered By Respondent |
July 1, 2016 |
| Request For Payment Of Charges For Health Or Rehabilitation Services |
April 13, 2015 |
| Proof Of Loss (Lump Sum Benefits) |
April 13, 2015 |
| Vendor-Payee Form |
August 28, 2014 |
| Employers Application For Permission To Carry Its Own Risk Without Insurance |
August 28, 2014 |
| Workers Compensation Premium Tax Report |
March 18, 2014 |
| Subject Line Detail Authorization |
March 18, 2014 |
| Requisition--Nonexempt Requestor |
March 18, 2014 |
| Affidavit Of Exemption |
March 18, 2014 |
| Report Of Compensation Paid-Suspension Of Payments |
March 14, 2014 |
| Report Of Mediation Conference |
March 14, 2014 |
| Request For Nunc Pro Tunc |
February 26, 2014 |
| Request For Independant Medical Examiner-Evaluator Or Case Manager |
February 26, 2014 |
| Physician Disclosure Statement |
February 26, 2014 |
| Application For Individual Own Risk Employer Permit (Self Insured Employer Application) |
February 25, 2014 |
| Employers First Notice Of Accidental Injury And Claim For Compensation |
February 25, 2014 |
| Employers First Notice Of Injury |
February 25, 2014 |
| Employers Application For Permission To Carry Its Own Risk Without Insurance |
February 25, 2014 |
| Claimants First Notice Of Death And Claim For Compensation |
February 25, 2014 |
| Designation Of Service Agent |
February 25, 2014 |
| Application For Medical Case Manager |
February 25, 2014 |
| Application For Vocational Rehabilitation Evaluator |
February 25, 2014 |
| Application For Physicians Seeking Appointment As An Independent Medical Examiner |
February 25, 2014 |
| Notificacion De Compensacion Para Trabajadores De Oklahoma E Instrucciones Para Empleadores Y Empleados |
November 11, 2011 |
| Notificacion De Compensaci=n Para Trabajadores De Oklahoma E Instrucciones Para Empleadores Y Empleados |
November 11, 2011 |
| Request For Court Forms |
November 11, 2011 |
| Request For Appointment Of Independent Medical Examiner |
November 11, 2011 |
| OK Workers Compensation Notice And Instruction To Employers And Employees |
November 11, 2011 |
| Employers Application For Permission To Carry Its Own Risk Without Insurance |
November 11, 2011 |
| Compromise Settlement (Death Claim) |
November 11, 2011 |
| Certificate To Compromise Settlement |
November 11, 2011 |
| Memorandum Of Agreement As To Fact With Relation To Injury-Payment Of Disability Compensation (Injuries After 6-30-05) |
November 4, 2010 |
| Joint Petition |
November 4, 2010 |
| Compromise Settlement |
November 4, 2010 |
| Agreement Between Employer And Employee As To Fact With Relation To An Injury And Payment Of Compensation |
November 4, 2010 |
| Physicians Release And Instructions |
January 4, 2007 |
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