Documents/Forms

DAS Workers' Compensation provides guides, brochures, flyers, notices, and posters to enhance employee and supervisor understanding of workers' compensation rights and responsibilities, safety and health awareness, and seasonal tips for a safer workplace.

Workers' Compensation

• Employee Information Brochure to Workers' Compensation
• Supervisor's Guide to Workers' Compensation
• Workers' Compensation Commission Notice to Employees

Safety and Health Topics

• Office Ergonomics
• Safe Lifting

Safety and Health - Seasonal - Winter

• Winter Safety Brochure
• Safer Snow Shoveling
• Using Snow Blowers Safely
• Winter Poster: Wear Your Boots and Carry Your Shoes
• Winter Safety Brochure 2

DAS Workers’ Compensation Report Packet

• DAS Form 207 - First Report of Injury
• DAS Form 207-1 - Incident Review Report
• WCC Form 1A - Filing Status and Exemption
• DAS Form PER-WC 211 - Concurrent Employment and Third Party Liability
• DAS Form WC-715 - Request for Use of Accrued Leave With Workers' Compensation
• DAS Form 208 – Worker Status Report