Workers' Compensation



  1. Workers’ Compensation Claim Form (DWC 1)
  2. Medical Panel
  3. Treatment Referral & Medical Authorization
  4. PRIME Covered Employee Notification of Rights in English | en Español
  5. Personal Physician Designation: Rules | Form

Manager and Supervisors

  1. Reporting Procedures for Work Related Injuries
  2. REQUIREDWorkers’ Compensation Claim Form (DWC 1)
  3. REQUIREDSupervisor’s Report Of Employee Incident Or Injury
  4. REQUIRED:  Supervisor's Supplemental Questionnaire
  5. OPTIONAL:  Questionable Workers’ Compensation Injury Information Form
  6. Serious Injury/Illness Reporting Procedure
  7. Light Duty Policy

Other Documents

  1. Access To Medical And Exposure Records
  2. First Aid Report

Blood Borne Pathogens

Hepatitis B

New Employee


      Site Safety Inspection Forms