Business Services > Worker's Compensation

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Workers' Compensation Claim Forms:

•   WC Reporting Procedure
•   Incident report form
•   WC Claim Form DWC 1
•   Medical Referral Insurance Info.
•   Designated Medical Providers
•   Flow Chart
•   Notice to Employee's
•   Aviso a los empleados
•   Predesignated Medical Provider
•   WC Pharmacy Card  

  Authorized Pharmacy Locator Website:

https://member.express-scripts.com/web/pharmacyLocator/openPharmacyLocator.do?net=9003&form=999&sourceApp=member&moPolicy=&jupiterMember=Y