AK Form 07-6120: Employer’s Notice of Insurance
AL Form WCC#1: Workers’ Compensation Notice
AR Form P: Workers’ Compensation Instructions to Employers and Employees
AR Form P: Workers’ Compensation Instructions to Employers and Employees (Spanish)
AZ Employer’s Compliance with Workers’ Compensation Law Poster (English and Spanish)
CA Form DWC 7: Notice to Employees – Injuries Caused by Work (English and Spanish)
CA Form DWC 1: Workers’ Compensation Claim Form and Notice of Potential Eligibility (NOPE)
CO Form WC49-A: Workers’ Compensation Act Poster
CO Form WC49-B: Workers’ Compensation Act Poster (Spanish)
CO Form WC50: Notice to Employer of Injury Poster TEMPLATE (English and Spanish)
DC Form No. 1 DCWC: Notice of Compliance
DC Form No. 1 DCWC: Notice of Compliance (Spanish)
DE Open Labor Law Poster (Spanish)
FL Important Workers’ Compensation Information for Florida’s Employers Brochure
FL Important Workers’ Compensation Information for Florida’s Employers Brochure (Spanish)
FL Notice of Compliance (Spanish)
GA Form WC-BOR: Bill of Rights for the Injured Worker
GA Form WC-BOR: Bill of Rights for the Injured Worker (Spanish)
GA Form WC-P1: Official Notice- Workers’ Compensation Panel Posting Notice
GA Form WC-P1: Official Notice- Workers’ Compensation Panel Posting Notice (Spanish)
HI Labor Law Poster – Complete (Workers’ Compensation on page 1)
ID Notice Regarding Workers’ Compensation – NL&F
ID Notice Regarding Workers’ Compensation – BHDIC
IL Form ICPN: Workers’ Compensation Notice
IN Worker’s Compensation Notice
IN Worker’s Compensation Notice (Spanish)
KS K-WC 40-A: Workers’ Compensation Rights and Responsibilities (English and Spanish)
KY Workers’ Compensation Notice
LA Workers’ Compensation Poster
LA Workers’ Compensation Poster (Spanish)
ME WCB-90: Notice to Employees (Multiple Languages)
MA Notice to Employees Poster *
MA Notice to Employees Poster (Spanish) *
MD WCC Form C-24: Workers’ Compensation in Maryland
MI WC-PUB-005: Employees – Know Your Rights
MI WC-PUB-006: Workers’ Compensation Agency Rights & Responsibilities
MO WC-106: Workers’ Compensation Law
MO WC-106-S: Workers’ Compensation Law (Spanish)
MS Notice of Coverage (Spanish)
NC 17: Workers’ Compensation Notice (and Instructions) to Injured Workers and Employers
NC 17S: Workers’ Compensation Notice (and Instructions) to Injured Workers and Employers (Spanish)
NH WCP-1: Workers’ Compensation Law – NL&F
NH WCP-1: Workers’ Compensation Law – BHDIC
NJ 16NJA: Posting Notice – NL&F
NJ 16NJA: Posting Notice – BHDIC
NJ 17NJ: Posting Notice – NL&F (Spanish)
NJ 17NJ: Posting Notice – BHDIC (Spanish)
NJ Preferred Provider Instructions – NL&F
NJ Preferred Provider Instructions – BHDIC
NM Notice of Accident or Occupational Disease Disablement
NM Posting Notice – 11×17 (1 page)
NM Posting Notice – 8 1/2 x 11 (2 pages)
NV D1: Brief Description of Your Rights and Benefits
NY C-105: Notice of Compliance – NL&F (English and Spanish)
NY C-105: Notice of Compliance – BHDIC (English and Spanish)
NY C-105.1: Acknowledgment of Workers’ Compensation Law
OR 1188: Notice of Compliance Copies can be ordered from here
OK CC-Form-1A: Workers’ Compensation Notice and Instruction to Employers and Employees
PA LIBC-500: Workers’ Compensation Insurance Posting – NL&F
PA LIBC-500: Workers’ Compensation Insurance Posting – BHDIC
PA Designated Physicians Program Acknowledgment
PA Designated Physicians Program and General Workers’ Compensation Instructions
PA Workers’ Compensation Information
RI DWC-8: Posting Notice of Workers’ Compensation Act
RI DWC-8 S: Posting Notice of Workers’ Compensation Act (Spanish)
SC Workers Compensation (Spanish)
SC Notice to Employee Poster
This poster is available free of charge to all South Carolina employers from the following agencies: SC Employment Security Commission (1-803-737-3075) , SC Human Affairs Commission ( 1-803-737-7800 ), and SC Workers’ Compensation Commission (1-803-737-5700)
TN LB-0922: Workers’ Compensation Insurance
TN LB-0922: Workers’ Compensation Insurance (Spanish)
TX Notice 6: Notice to Employees Concerning Workers’ Compensation in Texas *
TX Notice 6: Notice to Employees (Spanish) *
UT Workers’ Compensation Notice
UT Workers’ Compensation Notice (Spanish)
VA Form VWC1: Workers’ Compensation Notice
VA Form VWC1: Workers’ Compensation Notice (Spanish)
VT Form 31: Employer’s Liability and Workers’ Compensation Notice to Employees
VT WC-9: Employer’s Reinstatement Liability
WV-POSTING: Workers’ Compensation Notice to Employees – NL&F
WV-POSTING: Workers’ Compensation Notice to Employees – BHDIC
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