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Knowledgebase Home > Forms > Human Resources > Benefits > Workers' Compensation | Glossary | Favorites | Contact | Login Knowledgebase Home | Glossary | Favorites | Contact | Login
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There were 11 articles found in this category:
  1. questionLost Time and Return to Work Form
    Attached below is the WCF-1 form.

  2. questionFraudulent Claim Acknowledgement
    Please see attachment below.

  3. questionFirst Report of Injury or Illness Form
    http://campus.murraystate.edu/administ/hr/benefitforms/Workers'Comp/First_Report_of_Injury_or_Illness.pdf When an employee notifies you that an injury has occurred, it is your department’s responsibility to obtain all pertinent information needed for completion of the injury report (IA-1 ...

  4. questionNoticed of Second Designated Physician Form
    http://campus.murraystate.edu/administ/hr/benefitforms/Workers'Comp/Notice_of_Second_Designated_Physician.pdf

  5. questionNotice of Designated Physician Form
    http://campus.murraystate.edu/administ/hr/benefitforms/Workers'Comp/Notice_of_Designated_Physician.pdf

  6. questionProvider Introductory Letter
    http://campus.murraystate.edu/administ/hr/benefitforms/Workers'Comp/Provider_Introductory_Letter.pdf

  7. questionRequest for Payment for Services or Reimbursement for Compesable Services
    http://campus.murraystate.edu/administ/hr/benefitforms/Workers'Comp/Request_for_Payment_for_Services.pdf

  8. questionCommonwealth of Kentucky-CCMSI, Inc.-Report of Medical Status Report
    http://campus.murraystate.edu/administ/hr/benefitforms/Workers'Comp/Commonwealth_of_KY-CCSMI,%20Inc._Report_of_Medical_Status.pdf

  9. questionWorkers' Compensation Sick Leave Form
    http://campus.murraystate.edu/administ/hr/benefitforms/Workers'Comp/Workers_Compensation_Sick_Leave_Form.pdf

  10. questionWorkmans' Compensation Prescription Program Form
    http://campus.murraystate.edu/administ/hr/benefitforms/Workers'Comp/Prescription_Program_Form.pdf

  11. questionMedical Waiver and Consent Form
    http://campus.murraystate.edu/administ/hr/benefitforms/Workers'Comp/Medical_Waiver_and_Consent.pdf


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