Temco Portal > Seattle

Seattle

WORK RELATED INJURY PROCEDURE

WC Forms PDF Version

  • Form 3 – Employee Report of Injury
  • Form 4 – Worker_s Comp Fraud
  • Form 5 – Consent for Release of Medical Information
  • Form 6 – Employee Refusal of Medical Treatment Form
  • Form 7 – WC Report Supplemental Questions
  • Form 8 – Supervisor’s Report of Injury
  • Form 9 – Accident Investigation Report temco
  • Form 10- Root Cause and Prevention Analysis
  • Form 11 – Witness Statement
  • Form 12 – Temco Authorization
  • Form 13 – Modified Duty Assignment Form