Employer Posting Notices

Alaska

AK Form 07-6120: Employer's Notice of Insurance

Alabama

AL Form WCC#1: Workers' Compensation Notice

Arkansas

AR Form P: Workers' Compensation Instructions to Employers and Employees

 

AR Form P: Workers' Compensation Instructions to Employers and Employees (Spanish)

Arizona

AZ Employer's Compliance with Workers' Compensation Law Poster (English and Spanish)

California

CA Form DWC 7: Notice to Employees - Injuries Caused by Work (English and Spanish)

 

CA Form DWC 1: Workers' Compensation Claim Form and Notice of Potential Eligibility (NOPE)

CA Employee Fact Sheet

Colorado

CO Form WC49-A: Workers' Compensation Act Poster

 

CO Form WC49-B: Workers' Compensation Act Poster (Spanish)

 

CO Form WC50: Notice to Employer of Injury Poster TEMPLATE (English and Spanish)

Connecticut

CT Notice to Employees

Washington, D.C.

DC Form No. 1 DCWC: Notice of Compliance

 

DC Form No. 1 DCWC: Notice of Compliance (Spanish)

Delaware

DE Open Labor Law Poster

 

DE Open Labor Law Poster (Spanish)

Florida

FL Important Workers' Compensation Information for Florida's Employers Brochure

 

FL Important Workers' Compensation Information for Florida's Employers Brochure (Spanish)

 

FL Notice of Compliance

 

FL Notice of Compliance (Spanish)

 

FL Anti-Fraud Notice

Georgia

GA Form WC-BOR: Bill of Rights for the Injured Worker

 

GA Form WC-BOR: Bill of Rights for the Injured Worker (Spanish)

GA Form WC-P1: Official Notice- Workers' Compensation Panel Posting Notice

GA Form WC-P1: Official Notice- Workers' Compensation Panel Posting Notice (Spanish)

Hawaii

HI Labor Law Poster - Complete (Workers' Compensation on page 1)

Idaho

ID Notice Regarding Workers' Compensation - NL&F

ID Notice Regarding Workers' Compensation - BHDIC

Illinois

IL Form ICPN: Workers' Compensation Notice

Indiana

IN Worker's Compensation Notice

IN Worker's Compensation Notice (Spanish)

Kansas

KS K-WC 40-A: Workers' Compensation Rights and Responsibilities (English and Spanish)

Kentucky

KY Workers' Compensation Notice

Louisiana

LA Workers' Compensation Poster

 

LA Workers' Compensation Poster (Spanish)

Maine

ME WCB-90: Notice to Employees (Multiple Languages)

Massachusetts

MA Notice to Employees Poster *

 

MA Notice to Employees Poster (Spanish) *

Maryland

MD WCC Form C-24: Workers' Compensation in Maryland

Michigan

MI WC-PUB-005: Employees - Know Your Rights

 

MI WC-PUB-006: Workers' Compensation Agency Rights & Responsibilities

Minnesota

MN Posting Notice *

 

MN Posting Notice (Spanish) *

Missouri

MO WC-106: Workers' Compensation Law

MO WC-106-S: Workers' Compensation Law (Spanish)

Mississippi

MS Notice of Coverage

 

MS Notice of Coverage (Spanish)

North Carolina

NC 17: Workers' Compensation Notice (and Instructions) to Injured Workers and Employers

 

NC 17S: Workers' Compensation Notice (and Instructions) to Injured Workers and Employers (Spanish)

New Hampshire

NH WCP-1: Workers' Compensation Law - NL&F

 

NH WCP-1: Workers' Compensation Law - BHDIC

New Jersey

NJ 16NJA: Posting Notice - NL&F

 

NJ 16NJA: Posting Notice - BHDIC

 

NJ 17NJ: Posting Notice - NL&F (Spanish)

 

NJ 17NJ: Posting Notice - BHDIC (Spanish)

 

NJ Preferred Provider Instructions - NL&F

 

NJ Preferred Provider Instructions - BHDIC

New Mexico

NM Notice of Accident or Occupational Disease Disablement

 

NM Posting Notice - 11x17 (1 page)

NM Posting Notice - 8 1/2 x 11 (2 pages)

Nevada

NV D1: Brief Description of Your Rights and Benefits

NV D22: Notice to Employees

New York

NY C-105: Notice of Compliance - NL&F (English and Spanish)

 

NY C-105: Notice of Compliance - BHDIC (English and Spanish)

 

NY C-105.1: Acknowledgment of Workers' Compensation Law

Oregon

OR 1188: Notice of Compliance Copies can be ordered from here

Oklahoma

OK CC-Form-1A: Workers' Compensation Notice and Instruction to Employers and Employees

Pennsylvania

PA LIBC-500: Workers' Compensation Insurance Posting - NL&F

 

PA LIBC-500: Workers' Compensation Insurance Posting - BHDIC

 

PA Designated Physicians Program Acknowledgment

 

PA Designated Physicians Program and General Workers' Compensation Instructions

PA Workers' Compensation Information

Rhode Island

RI DWC-8: Posting Notice of Workers' Compensation Act

 

RI DWC-8 S: Posting Notice of Workers' Compensation Act (Spanish)

South Carolina

SC Workers Compensation

 

SC Workers Compensation (Spanish)

 

SC Notice to Employee Poster

This poster is available free of charge to all South Carolina employers from the following agencies:  SC Employment Security Commission (1-803-737-3075) , SC Human Affairs Commission ( 1-803-737-7800 ), and SC Workers' Compensation Commission (1-803-737-5700)

South Dakota

SD Safety Poster

Tennessee

TN LB-0922: Workers' Compensation Insurance

 

TN LB-0922: Workers' Compensation Insurance (Spanish)

Texas

TX Notice 6: Notice to Employees Concerning Workers' Compensation in Texas *

 

TX Notice 6: Notice to Employees (Spanish) *

Utah

UT Workers' Compensation Notice

 

UT Workers' Compensation Notice (Spanish)

Virginia

VA Form VWC1: Workers' Compensation Notice

 

VA Form VWC1: Workers' Compensation Notice (Spanish)

Vermont

VT Form 31: Employer's Liability and Workers' Compensation Notice to Employees

 

VT WC-9: Employer's Reinstatement Liability

West Virginia

WV-POSTING: Workers' Compensation Notice to Employees - NL&F

 

WV-POSTING: Workers' Compensation Notice to Employees - BHDIC

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