Forms

Workers' Compensation Accident Packet:

• WORKERS COMPENSATION (Pink)
• INCIDENT ONLY (Blue)
• SHERIFF'S OFFICE ONLY 207 C

Volunteer Firefighters' Accident Packet:

• VOLUNTEER FIREFIGHTER PACKET
• VOLUNTEER AMBULANCE WORKER PACKET

For Employers (Departments/Towns/Villages):

• C-2
• C-11
• C-240 
• Request for Reimbursement

For Employees:

• Current Status Statement 
• Insurance Requirements Questionnaire Form