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