Resource Browser

Filename Description Updated
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
3E-Employee Follow-up Form
3E-Employee Follow-up Form MAC Version
4E - First Fill Prescription Form Injured Employee: Get your workers' compensation prescriptions filled.
Employee Flow Chart for Injuries Instructions if you are injured at work
Rights & Obligations Workers Compensation Information Sheet
Rights & Obligations (Spanish) Workers Compensation Information Sheet (Spanish)