- Affidavit Of Compliance With Mandatory Industrial Insurance RequirementsFile .pdf (13.3 Kbytes)
- Alternative Choice Of Physician Or ChiropractorFile .pdf (73 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)
- 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 (71.1 Kbytes)
- Employee?s Claim For CompensationFile .pdf (54.1 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)
- Explanation Of Wage CalculationFile .pdf (7.5 Kbytes)
- Fatality ReportFile .pdf (56.8 Kbytes)
- Fireman & Police Officer?s Extensive Heart Examination FormFile .pdf (6.6 Kbytes)
- Fireman & Police Officer?s Hearing Examination FormFile .pdf (7.5 Kbytes)
- Fireman & Police Officer?s Limited Heart Examination FormFile .pdf (6.2 Kbytes)
- Fireman & Police Officer?s Lung Examination FormFile .pdf (6.6 Kbytes)