Insurance Adjuster

Forms/Desk Aids...

• Notice of Contest  (PDF) (MS Word)
• General Admission of Liability  (PDF)  (MS Word)
• Final Admission of Liability  (PDF)  (MS Word)
• Final Payment Notice  (PDF)  (MS Word)
• Petition to Modify, Terminate or Suspend Compensation  (PDF)  (MS Word) 
• Average Weekly Wage Desk Aid  (PDF)  (MS Word)
• Maximum Benefit Rates Desk Aid  (PDF)  (MS Word)

For a complete listing of all Division forms and Desk Aids, please click the "Forms and Desk Aids" link on the side menu bar.

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