- Affidavit Of Compliance With Mandatory Industrial Insurance RequirementsFile .pdf (13.3 Kbytes)
- Alternative Choice Of Physician Or ChiropractorFile .pdf (73 Kbytes)
- App-01.00 Nevada Business Registration FormFile .pdf (34.4 Kbytes)
- Application For Claim Related Re-imbursementFile .pdf (83.7 Kbytes)
- Assignment To Division For BenefitsFile .pdf (78.5 Kbytes)
- Brief Description Of Rights & BenefitsFile .pdf (77 Kbytes)
- Bvr P-2 Application For Vocational Rehabilitation ServicesFile .pdf (19.3 Kbytes)
- Bvr P-2 Solicitud Para Servicios De Rehabilitacion (spanish)File .pdf (33.2 Kbytes)
- Complaint Form (northern Nv)File .pdf (5.8 Kbytes)
- Complaint Form (southern Nv)File .pdf (5.8 Kbytes)
- Election By Employee To Report TipsFile .pdf (5.5 Kbytes)
- Election For Nevada Workers Compensation For Out-of-state InjuryFile .pdf (64.6 Kbytes)
- Election Of Coverage By EmployerFile .pdf (46.5 Kbytes)
- Election Of Method Of PaymentFile .pdf (7.4 Kbytes)
- Election Of Method Of Payment For Disability Over 25%File .pdf (6.9 Kbytes)
- Employee?s Claim For CompensationFile .pdf (54.1 Kbytes)
- Employee?s Claim For CompensationFile .pdf (71.1 Kbytes)
- Employee?s Election To Reject CoverageFile .pdf (46.5 Kbytes)
- Employee?s Request For CompensationFile .pdf (7.3 Kbytes)
- Employer?s Information PosterFile .pdf (111.1 Kbytes)
- Employer?s Report Of InjuryFile .pdf (79.3 Kbytes)
- Employer?s Wage Verification FormFile .pdf (10.8 Kbytes)
- Es-935 Claimant's Affidavit Of Federal Civilian Services, Wages & Reason For SeparationFile .pdf (24.6 Kbytes)
- Es-935 InstructionsFile .pdf (12.2 Kbytes)
- Eta-790 Application For Alien Employment CertificationFile .pdf (594.9 Kbytes)