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  • Injured Workers
    Injured WorkersFiling a Worker's Compensation ClaimClaim BenefitsLost Wages and ExpensesIf Your Claim is DeniedThe Hearing Officer LevelThe Appeals Officer LevelClaim Reopening
  • Benefits
    BenefitsTemporary Total DisabilityPermanent Partial DisabilityVocational RehabilitationMileage ReimbursementDeath Benefits
  • Forms for Download
  • Additional Resources
  • Contact Us
    Contact UsLas Vegas Office Driving DirectionsCarson City Office Driving Directions
  • ADA Notice
  • Home
  • NAIW's Role
  • Injured Workers
    • Filing a Worker's Compensation Claim
    • Claim Benefits
    • Lost Wages and Expenses
    • If Your Claim is Denied
    • The Hearing Officer Level
    • The Appeals Officer Level
    • Claim Reopening
  • Benefits
    • Temporary Total Disability
    • Permanent Partial Disability
    • Vocational Rehabilitation
    • Mileage Reimbursement
    • Death Benefits
  • Forms for Download
  • Additional Resources
  • Contact Us
    • Las Vegas Office Driving Directions
    • Carson City Office Driving Directions
  • ADA Notice

Forms For Downloading

C-1 "NOTICE OF INJURY OR OCCUPATIONAL DISEASE (Incident Report)" form

Notice of Injury or Occupational Disease [C-1 form]

C-4 "EMPLOYEE’S CLAIM FOR COMPENSATION/REPORT OF INITIAL TREATMENT" form

Employee's Claim for Compensation/Report of Initial Treatment [C-4 form]

Request for Hearing Before the Hearing Officer

Request for Hearing Before the Hearing Officer form

Request for Hearing Before the Appeals Officer

Request for Hearing Before the Appeals Officer form

Request for Interpreter

Request for Interpreter form

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