69L-3. Workers' Compensation Claims  


69L-3.001. Purpose (Repealed)
69L-3.002. Definitions
69L-3.003. Procedures for Filing Documents
69L-3.004. First Report of Injury or Illness: Employer's Responsibility to Record and Report Accidents (Transferred)
69L-3.009. Injuries that Qualify as Grievous Bodily Harm of a Nature that Shocks the Conscience
69L-3.012. Notice of Denial (Transferred)
69L-3.016. Claim Cost Report
69L-3.017. Notice of Apportionment of Medical Reimbursement Due to a Pre-Existing Condition(s)
69L-3.018. Wage Loss Benefits Due to Permanent Impairment (Dates of Accident August 1, 1979 through December 31, 1993) (Repealed)
69L-3.019. Wage Loss Benefits for Temporary Partial Disability (Dates of Accident August 1, 1979 through December 31, 1993) (Repealed)
69L-3.021. Additional Income Source Reports
69L-3.025. Forms
69L-3.0033. Electronic Filing of Workers' Compensation Forms (Transferred)
69L-3.0035. Injured Worker Informational Brochure
69L-3.0036. Employer Informational Brochure
69L-3.0045. First Report of Injury or Illness: Claim Administrator's Responsibility to Record and Report Accidents (Transferred)
69L-3.0046. Wage Statement: Employer's and Claim Administrator's Responsibility to Record and Report Wages
69L-3.0047. Fraud Statement
69L-3.0091. Notice of Action/Change (Transferred)
69L-3.0191. Temporary Disability Benefits (Dates of Accident January 1, 1994 through September 30, 2003) (Repealed)
69L-3.0192. Impairment Income Benefits (Dates of Accident January 1, 1994 through September 30, 2003) (Repealed)
69L-3.0193. Supplemental Income Benefits (Dates of Accident January 1, 1994 through September 30, 2003) (Repealed)
69L-3.0194. Permanent Total and Permanent Total Supplemental Benefits for Dates of Accident Prior to October 1, 2003
69L-3.0213. Aggregate Claims Administration Change Report (Repealed)
69L-3.01915. Temporary Partial Disability Benefits (Dates of Accident on or After October 1, 2003)
69L-3.01925. Impairment Income Benefits (Dates of Accident on or After October 1, 2003)
69L-3.01945. Permanent Total and Permanent Total Supplemental Benefits for Dates of Accident on or After October 1, 2003