All Mississippi Workers Compensation forms

Workers Compensation - Answers

• Workers Compensation Answer to Complaint MS-B5-22-WC

Workers Compensation - Appearances

• Entry of Appearance MS-62758

Workers Compensation - Applications

• Employers Application to Become Self-Insurer MS-A-2-WC

Workers Compensation - Attorneys

• Motion to Withdraw and Substitute Counsel MS-62764
• Representation Agreement MS-62754

Workers Compensation - Certifications

• Certification of Workers Compensation Policy MS-A-24-WC

Workers Compensation - Claims

• Checklists - Worker's Compensation Claims US-04076BG

Workers Compensation - Depositions

• Pre-Deposition Conference MS-62766

Workers Compensation - Discovery

• Claimant's First Set of Interrogatories to Employer and Carrier US-01365
• Claimant's First Set of Requests for Production US-01366
• Requests for Production of Documents to Carrier US-01367
• Claimant's First Set of Interrogatories to Employer and Carrier MS-62816
• Request for Production of Documents to Carrier MS-62818
• Claimant's First Set of Request for Production MS-62817

Workers Compensation - Extensions

• Motion for Enlargement of Time for Submission of Rebuttal Brief MS-62765

Workers Compensation - Injury and Claims

• Notice of Work-Related Injury and Claim for Worker's Compensation US-01495BG

Workers Compensation - Injury Reports

• Report of Injury by Employee to Employer to be Filed with Worker's Compensation Agency of State US-01494BG

Workers Compensation - Insurance

• Agreement of Employee Service Provider to Maintain Workers Compensation Insurance US-01625BG

Workers Compensation - Lump Sums

• Application for Lump Sum Payment MS-B-19-WC

Workers Compensation - Medical Records

• Medical Records Affidavit MS-MEDAF-WC
• Medical Records Affidavit MS-62759
• Legal Services Contract - Authorization for Medical Information MS-62755

Workers Compensation - Medical Reports

• Workers Compensation Medical Report MS-B9-27-WC

Workers Compensation - Notices

• Notice of First Payment, Supplemental Agreement, or Suspension of Payment MS-B-18-WC
• Notice of Final Payment MS-B-31-WC
• Employers Notice of Controversion MS-B-52-WC

Workers Compensation - Notifications

• Early Notification of Severe Injury MS-R-1-WC

Workers Compensation - Orders

• Proposed Order on Motion MS-ORDERONMT-WC

Workers Compensation - Petitions

• Petition ot Controvert MS-B5-11-WC

Workers Compensation - Physicians

• Doctor Affidavit MS-62762

Workers Compensation - Questionnaires

• Workers Compensation Questionnaire US-Q1038

Workers Compensation - Referrals

• Referral for Rehabilitation MS-R-2-WC

Workers Compensation - Releases

• Absolute Release of All Claims MS-62769

Workers Compensation - Reports

• First Report of Injury or Illness MS-001-FR-WC

Workers Compensation - Reviews

• Claimant's Petition for Commission Review MS-62757

Workers Compensation - Sample Case 1

• Amended Order of Administrative Judge MS-62777
• Petition for Controvert MS-62770
• Notice of Controversion MS-62771
• Answer MS-62772
• First Set of Interrogatories to Claimant MS-62773
• Claimant's Interrogatories Propounded to Employer and Carrier MS-62774
• Responses to Request for Production of Documents MS-62775
• Claimant Answers to First Set of Requests for Production of Documents MS-62776
• Petition of Appeal from Administrative Judge MS-62778
• Commission Order MS-62779
• Brief of Appellant - Employer and Carrier MS-62780
• Brief of Appellee / Claimant MS-62781
• Order MS-62782
• Final Judgment MS-62783

Workers Compensation - Sample Case 2

• Employee's Notice of Appeal MS-62788