Nevada

WORK RELATED INJURY PROCEDURE

PDF Refused Medical Treatment Forms

• Forum 1 – Employee’s Report of Injury
• Form 5 – Supervisor’s Report
• Form D – Refusal of Medical Treatment

PDF Sent to Medical

• Form C – Authorization for Treatment and Examination
• Form 3 – Consent to Release Medical Information
• Form 4 – WC Supplemental Form

NV Claims Kit

• NV claims kit

NV Posting Notice

• NV posting notice