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Alabama Form Center -

Type & Print Forms - programmed for direct type and print functionality.

Each form may be downloaded in Adobe Acrobat format. Download the form by clicking on the form number below.
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Form

Description

wc2.pdf Employer's First Report of Injury or Occupational Disease
wc_froi_codes.pdf WC Alabama First Report of Injury Codes and Instructions
wc3.pdf Supplementary Report
wc4.pdf Claim Summary Form
wc_combination.pdf Combination Supplementary and Claim Summary Form
wcc10.pdf Assessment Report for Insurance Companies, Self Insureds and Group Funds
wcc10_inst.pdf WCC 10 Alabama Assessment Form Instructions
wc14_15.pdf Employers Notice to Exclude or Include Coverage for Himself, Officers or Members
wc18.pdf Employer's Application for Self-Insurance
wc50.pdf WC Application for Certification for Bill Screening
drug_free_cert.pdf Drug Free Certification of Drug Free Workplace Application
drug_free_recert.pdf Drug Free Re-Certification of Drug Free Workplace Application
information.pdf POSTER - Workers' Compensation Notice
drugfree_way_to_be.pdf BROCHURE - Drug Free Way to Be