What's New?
Contact Information
Workers' Compensation Act
Rules of Procedure
Medical Treatment Guidelines
Official Forms
Publications
Interpretive Bulletins
Lists
EDI/Online Filing
Employers' Insurance Coverage Verification
Do I Need Insurance?
Looking For Insurance?
Dispute Resolution
Workers' Compensation Fraud Investigation Unit
Other Agencies
Statistics
En Espaņol
Contact the Webmaster
Return to Home Page
Last Update: 12/4/08
Division of Workers' Compensation
Form
Description
Settlement Checklist
Form # WC105
This is a checklist used by attorneys. It accompanies settlement documents and is required by the Division to ensure all required information is included.
Settlement Order
Form # WC73
This is the standard Settlement Order submitted to the Director or Administrative Law Judge for settlement approval.