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Save the Date – COVID-19 and Workers’ Compensation Webinar

Web Submission of Claim Forms - Adobe Format

Overview

A number of forms on our website have been redesigned for use with Adobe Reader. These forms provide functionality not found in the previous version available for web submission.

Adobe Reader® 9 is required to support the new functionality in these forms. The latest version of Adobe Reader® is available as a free download from Adobe's website.

New Features

Save Form Data

Forms that have Load Data and Save Data buttons, allow data from the form being submitted to the Board to be saved on your computer. You can then use the saved data to pre-populate fields the next time you submit the form. This may significantly reduce the amount of duplicate data entry required.

Attach a Document

Some forms will allow you to attach documents to be submitted with the form.

Confirmation of Submission to the Board

After the Board receives your form, a non-editable PDF version of the form will appear in your web browser. The first page contains a confirmation that your form was successfully submitted to the Board and the date. It should be saved for your records and used to send copies of the form and any attachments to required parties. DO NOT MAIL THIS FORM TO THE BOARD.

If confirmation page does not appear in your web browser after you submit the form to the Board, then the Board did not successfully receive the form and you will need to resubmit it.