Workers Compensation for Nebraska

Choosing A Doctor For A Work-related Injury (11/99)
File .pdf (104.4 Kbytes)
Choosing A Doctor For A Work-related Injury - Spanish (11/99)
File .pdf (117.9 Kbytes)
Form 1 - First Report Of Alleged Occupational Injury Or Illness (12/00)
File .pdf (220.1 Kbytes)
Form 10t - Termination Of Corporate Executive Officer Waiver (12/96)
File .pdf (105.5 Kbytes)
Form 12 - Record Of Compensation Insurance (6/95)
File .pdf (28.4 Kbytes)
Form 4 - Subsequent Report (12/00) Effective July 1, 2001
File .pdf (217.4 Kbytes)
Form 50 - Choice Of Doctor (1/97)
File .pdf (40.9 Kbytes)
Form 50 - Choice Of Doctor - Spanish (1/97)
File .pdf (25.6 Kbytes)
Form 63-1 - Request For Independent Medical Examiner (7/97)
File .pdf (51.3 Kbytes)
Form 67-2 - Notice Of Agreement To Use A Named Independent Medical Examiner (7/97)
File .pdf (214.1 Kbytes)
Informal Dispute Resolution & Mediation (1/00)
File .pdf (124 Kbytes)
Order Form (current)
File .pdf (19.7 Kbytes)
Rights & Obligations Of Employers/employees (10/03)
File .pdf (155.4 Kbytes)
Rights & Obligations Of Employers/employeesspanish (02/03)
File .pdf (36.6 Kbytes)
Rule Book (12/00)
File .pdf (843.8 Kbytes)
Vocational Rehabilitation Services (2/01)
File .pdf (106.4 Kbytes)
Vocational Rehabilitation Services - Spanish (2/01)
File .pdf (108.1 Kbytes)
Workers Compensation Court - Form 1 - First Report Of Alleged Occupational Injury Or Illness (12/00)
File .pdf (220.1 Kbytes)
Workers Compensation Court - Form 10t - Termination Of Corporate Executive Officer Waiver (12/96)
File .pdf (105.5 Kbytes)
Workers Compensation Court - Form 12 - Record Of Compensation Insurance (6/95)
File .pdf (28.4 Kbytes)
Workers Compensation Court - Form 4 - Subsequent Report (12/00)effective July 1, 2001
File .pdf (217.4 Kbytes)
Workers Compensation Court - Form 50 - Choice Of Doctor (1/97)
File .pdf (40.9 Kbytes)
Workers Compensation Court - Form 50 - Choice Of Doctor (spanish) (11/99)
File .pdf (25.6 Kbytes)
Workers Compensation Court - Form 63-1 - Request For Independent Medical Examiner (7/97)
File .pdf (51.3 Kbytes)