Resources — LUBA Workers’ Comp

2021 Press Kit

Type: PDF
Last Updated: 2021-07-19

Acceptance of Officers : MS, AR, TX, OK, AL

Type: PDF
Last Updated: 2020-04-24

Acceptance of Officers Form (LA)

Type: PDF
Last Updated: 2016-05-26

Acceptance of Officers Form (MS, AR, TX, OK)

Type: PDF
Last Updated: 2016-07-19

ACH Form - One Time Draft

Type: PDF
Last Updated: 2021-09-02

Additional Entities & Locations Application

Type: PDF
Last Updated: 2020-02-17

Agents - Do You Know Where to Bring an Injured Worker For Care?

Type: PDF
Last Updated: 2018-11-15

Alabama Deductible Rejection

Type: PDF
Last Updated: 2020-04-24

Alabama First Report of Injury

Type: PDF
Last Updated: 2020-04-24

Alabama LUBA Casualty Rates 2021

Type: PDF
Last Updated: 2021-07-23

Alabama Posting Notice

Type: PDF
Last Updated: 2020-04-24

Alabama Sample Drug & Alcohol Policy

Type: PDF
Last Updated: 2021-06-16

American Society of Safety Engineers

Type: Link

Application for Supplemental Income (English)

Application for Supplemental Income Benefits

Type: PDF
Last Updated: 2016-03-18

Application for Supplemental Income (Spanish)

Type: PDF
Last Updated: 2016-03-18

Arkansas Claim Penalties

Type: PDF
Last Updated: 2016-03-23

Arkansas First Report of Injury Form

Type: PDF
Last Updated: 2016-06-14

Arkansas First Report of Injury Instructions for Completing

Type: PDF
Last Updated: 2016-03-23

Arkansas LUBA Casualty Class Codes and Rates 2021

Type: PDF
Last Updated: 2021-07-23

Arkansas Sample Drug & Alcohol Policy

Type: PDF
Last Updated: 2017-11-28

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