Assisting Injured Employees By
Coordinating Quality Medical Care
Promoting Early and Safe Return To Work
Providing Medical and Income Benefits
Providing Effective Customer Service
Forms
| *Confirmation of Annual Meeting | *First Report of Injury |
| *Monthly Transitional Duty Log | *Subsequent Injury Report/TWCC 6 |
| *Notification Letter (Spanish) | *Work Status/TWCC 73 |
| *Transitional Duty Form | |