The six mapped documents are current Board forms C-2, VF-2, VAW-2, C-669, C-7 and C-8/8.6 with the IAIABC data element numbers listed in the existing fields. These Board forms will be replaced with FROI/SROI upon implementation of eClaims.
PDFs
- C-2 (Employer's Report of Work-Related Injury/Illness)
- C-7 (Notice That Right to Compensation is Controverted)
- C-8/8.6 (Notice That Payment of Compensation Has Been Stopped or Modified)
- C-669 (Notice to Chair of Carrier's Action on Claim for Benefits)
- VAW-2 (Political Subdivision's Report of Injury to Volunteer Ambulance Worker)
- VF-2 (Political Subdivision's Report of Injury to Volunteer Firefighter)