Skip to Content

Workers' Compensation Board

Language Assistance: (877) 632-4996 | Español | Русский | Polski | 中文 | Italiano | Kreyòl ayisyen | 한국어

Ancillary Medical Report (EC-4 AMR)
Web Submission Process Tutorial

Accessing the form

  • From the Home page select Health Care Information
  • Select "Ancillary Medical Report" under On-Line Services
  • At the bottom of the page select the Access EC-4AMR button
  • Enter user ID and Password to login.
  • The form will open in a web browser.