|1E-Take to Doctor||Injured Employee: Take this form to your doctor. It includes instructions and authorization for workers compensation.|
|2E-Doctor Choice Form||Doctor Choice Form 50 - Nebraska. This form is required for workers' compensation injuries fax to 402-715-1097 or e-mail the completed form to firstname.lastname@example.org.
|3E-Employee Work Comp - Follow-up Form||Download the form to your desktop to complete the form. Workers Compensation Forms: Employee Follow-up Form to provide to your supervisor after each doctor visit.|
|3E-Employee Work Comp - Follow-up Form||Workers Compensation Forms: Employee Follow-up Form to provide to your supervisor after each doctor visit.
|4E - First Fill Prescription Form||Injured Employee: Get your workers' compensation prescriptions filled.
English & Spanish Version
|Employee Flow Chart for Workers Compensation Injuries||Step by step Instructions if you are injured at work|
|Rights & Obligations||Workers Compensation Information Sheet|
|Rights & Obligations (Spanish)||Workers Compensation Information Sheet (Spanish)|