Translate this page in your preferred language:

You can translate the contents of this page by selecting a language in the select box.

---

Complete the online enrollment form

Prior to downloading your form, please note the following:
Forms listed here are in Portable Document Format (PDF).
​You will need Acrobat Reader plug-in to open PDF files. Please visit the Adobe website to download the plug-in.
Some forms may be available for electronic filing.

AultComp MCO Selection Form

BWC Report Card Ratings

Online Injury Form

Printable Injury Form

First Report of an Injury, Occupational Disease or Death

Physician's Report of Work Ability

Instructions for completing Physician's Report of Work Ability

Forms for Recording Work-Related Injuries and Illnesses Booklet

Accident/Incident Report

Witness Report

First Aid Report Form