These forms are available for completion and online submission through the Board's website.
After the Board receives your form, a non-editable PDF version of the form will appear in your web browser. The first page contains a confirmation that your form was successfully submitted to the Board and the date. It should be saved for your records. DO NOT MAIL THIS FORM TO THE BOARD.
| Form Number | Form Title | Registration required? | Comments |
|---|---|---|---|
| C-11 | Employer's Report of Injured Employee's Change in Employment Status Resulting From Injury | No | As soon as employment status of injured employee changes. |
| C-240 | Employer's Statement of Wage Earnings | No | Within 10 days of request by the Board. |
| PH-16.2 | Pre-Hearing Conference Statement | No | Filed 10 days before scheduled pre-hearing conference for controverted cases (FROI-04/SROI-04). |
If the form you are looking for is not available for online submission, you may print the PAPER version of the form from our list of common forms.