Forms and Resources
Downloadable Forms
- 5020 - Employer's Report of Injury - York
- 5020 - Employer's Report of Injury - Athens
- DWC-1 - Claim Form - York
- DWC-1 - Claim Form - Athens
- Wellcomp MPN Pamphlet - English - York
- Wellcomp MPN Pamphlet - Spanish - York
- Athens-ASCIP MPN Pamphlet - Athens
- Athens-ASCIP MPN Pamphlet - Spanish - Athens
- Wage Statement - York
- Wage Statement - Athens
- Time of Hire Pamphlet
- Employee Death Form
- Supervisor's Investigation Form
- Posting Notice - York
- Posting Notice - Athens
- Injury Report Only - No Treatment
- Declination of Medical Treatment
Resources
- Schools Workers' Compensation Guidebook by Laughlin, Falbo, Levy & Moresi LLP
- WC Leave Flow Chart for Schools