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  1. www.wvinsurance.gov › Workers-Compensation_Forms-WCForms (WC) - wvinsurance.gov

    The following forms are approved for use in West Virginia workers’ compensation claims.

    • Board Of Review

      Many common actions in workers compensation claims (e.g.:...

  2. www.wvinsurance.gov › Workers-CompensationWorkers' Compensation

    Workers' Compensation. The West Virginia workers’ compensation market has over 350 carriers offering workers’ compensation insurance to West Virginia employers. Since the workers’ compensation privatization legislation went into effect in 2006, the aggregate loss costs have decreased more than 80%. West Virginia Surcharge Percentages.

  3. Many common actions in workers compensation claims (e.g.: rule on claim; supply copy of file; arrange for doctor’s examination; act upon doctor’s request; etc.) have legally established time limits for insurance carriers or self-insured employers to act.

    • West Virginia Required Postings and Forms
    • Please Print and Provide The Following Items When An Employee Becomes Injured
    • The Following Item Is to Be Used as A Reference Document only
    • More West Virginia Workers’ Comp Resources

    Download West Virginia Claims Kit Please print and post the following notices, both in English and Spanish, in a conspicuous location frequented by employees such as the break room, lunchroom or time clock. If you have multiple office locations be sure to post the notices at each location. 1. Workers’ Compensation Insurance Notice (English and Span...

    Channeling Letter. This document directs the injured employee where to go for treatment after an injury and to find a provider.

    EMPLOYERS West Virginia Managed Care Program Guide. This document explains important information about the EMPLOYERS West Virginia Managed Care (EMP WV MHCP) program and the required notices.

    Off-Site Transitional Duty Program – Helping Your Injured Employees Get Back to Work. A successful transition back to work relies on the collaborative efforts of the manager/supervisor, the injured...

  4. EMPLOYEE INFORMATION: Filing a Claim. Notify your supervisor immediately. First Report of Injury - Employee Physician Claim Form. Workers’ Compensation FIRST FILL – Temporary Prescription Card. Division of Personnel Workers' Compensation Policies. Division of Personnel Workers' Compensation/Sick Leave Policy.

  5. Get the latest workers' compensation insurance forms for West Virginia. Access common workers' comp forms West Virginia, applications, guides and helpful manuals for WV.

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  7. Welcome to the West Virginia Insurance Commission's website for viewing and maintaining information related to Workers' Compensation coverage in the state.

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