Go Back
- 123FormBuilder
- Form Templates
- HR forms
- Workers Compensation Claim Form
- 360 Degree Feedback Form
- Accident Investigation Form
- Administrative Review Form
- Annual Appraisal Form
- Appraisal Request Form
- Approval Request Form
- Business Expense Form
- Cabin Crew Application Form
- Candidate Evaluation Form
- Candidate Experience Survey
- Career Break Application Form
- Career Choice Quiz
- CEO Evaluation Form
- Check In Check Out Form
- Company Culture Survey
- Company Exit Form
- Corporate Climate Survey
- Corporate Structure Survey
- Dependent Care Claim Form
- Disciplinary Form
- Discrimination Complaint Form
- Emergency Information Form
- Emergency Notification Form
- Employee 90-Day Review Form
- Employee Attitude Survey
- Employee Availability Form
- Employee Benefits Survey
- Employee Coaching Form
- Employee Communication Survey
- Employee Complaint Form
- Employee Contact Form
- Employee Corrective Action Form
- Employee Counseling Form
- Employee Direct Deposit Enrollment Form
- Employee Disciplinary Action Form
- Employee Emergency Contact Form
- Employee Engagement Survey
- Employee Evaluation Form
- Employee Exit Interview
- Employee Exit Survey
- Employee Expense Reimbursement Form
- Employee Grievance Form
- Employee Harassment Complaint Form
- Employee Information Form
- Employee Injury Report Form
- Employee Leave Request Form
- Employee Motivation Survey
- Employee of the Month Voting Form
- Employee Onboarding Form
- Employee Opinion Survey
- Employee Pay Increase Form
- Employee Poll
- Employee Promotion Justification Form
- Employee Referral Form
- Employee Resignation Form
- Employee Review Form
- Employee Satisfaction Survey
- Employee Self Evaluation Form
- Employee Self Review Form
- Employee Separation Form
- Employee Status Change Form
- Employee Suggestion Box Form
- Employee Termination Checklist Form
- Employee Time Sheet Form
- Employee Training Survey
- Employee Transfer Form
- Employee Travel Authorization Form
- Employee Warning Notice Form
- Employee Wellness Survey
- Employment Eligibility Verification Form
- Employment Reference Check Form
- Equal Employment Opportunity Form
- Executive Director Evaluation Form
- Expense Tracking Form
- Flight Attendant Job Application Form
- Goal Setting Form
- Holiday Enquiry Form
- Holiday Request Form
- Hospital Job Application Form
- HR Complaint Form
- Incident Notification Form
- Incident Report Form
- Income Verification Form
- Internet Access Request Form
- Internship Application Form
- Internship Evaluation Form
- Interview Evaluation Form
- Interview Notes Form
- Interview Questionnaire Form
- Interview Record Form
- Interview Request Form
- Invigilator Application Form
- Job Application Form
- Job Description Form
- Job Enquiry Form
- Job Evaluation Survey
- Job Interest Form
- Job Interview Assessment Form
- Job Interview Form
- Job Offer Form
- Job Order Form
- Job Proposal Form
- Job Requirement Form
- Job Satisfaction Questionnaire
- Job Satisfaction Survey
- Job Seekers Application Form
- Job Transfer Request Form
- Leave Application Form
- Leave Cancellation Form
- Management Evaluation
- Manager Effectiveness Survey
- Manpower Request Form
- Maternity Leave Application Form
- Meeting Attendance Form
- Meeting Evaluation Form
- Meeting Room Reservation Form
- Mileage Reimbursement Form
- New Employee Registration Form
- New Hire Orientation Survey
- Non Conformance Report Form
- Offense Incident Report Form
- Onboarding Feedback Questionnaire
- Paternity Leave Application Form
- Payroll Change Form
- Performance Counseling Form
- Performance Improvement Plan Form
- Performance Management Form
- Performance Review Form
- Personal Reference Form
- Previous Employment Verification Form
- Professional Reference Form
- Promotion Request Form
- PTO Request Form
- Recruitment Authorisation Form
- Recruitment Checklist Form
- Recruitment Evaluation Survey
- Refer a Friend Form
- Resident Satisfaction Survey
- Return to Work Form
- Safety Inspection Form
- Safety Suggestion Form
- Safety Violation Form
- Security Incident Report Form
- Service Record Form
- Sexual Harassment Complaint Form
- Ship Crew Application Form
- Sickness Notification Form
- Skill Set Evaluation Form
- Staff Appointment Form
- Staff Evaluation Form
- Staff Requisition Form
- Stationery Requisition Form
- Stress Management Questionnaire
- Supervisor Performance Evaluation
- Suspicious Activity Report Form
- Teacher Recruitment Form
- Team Building Evaluation Form
- Team Building Questionnaire
- Team Performance Survey
- Teamwork Questionnaire
- Time Adjustment Form
- Time Off Request Form
- Training Application Form
- Training Request Form
- Travel Claim Form
- Travel Expense Form
- Truck Driver Application Form
- Tuition Reimbursement Request Form
- Unpaid Leave Form
- Vacation Leave Request Form
- Vacation Request Form
- Warehouse Employee Evaluation Form
- Weekly Status Report Form
- Work Approval Form
- Work Availability Form
- Work Declaration Form
- Work Environment Survey
- Work From Home Form
- Workers Compensation Waiver Form
- Workplace Complaint Form
- Workplace Incident Report Form
- Workplace Safety Survey
Workers Compensation Claim Form Template
Make it easy for your workers to request compensation for injuries endured on the job. Our form is clean yet detailed, but you can further add to it without writing a single line of code.
AVAILABLE ON GOLD PLAN
This template is available in the GOLD plan, with many perks:
- Unlimited question fields
- 5.000 submissions per month
- Collect files
- Email & SMS notifications
- Third-party integrations
- Visual reports
Join 1.5 million happy customers that build forms & surveys with 123FormBuilder
Other ready to use form templates
Browse through our 1900+ web form templates and select the one that you need.
FREE TRIAL
gold
Employee Injury Report Form
Employee injury report forms are used by company staff to report any kind of accident, ...
Preview template
FREE TRIAL
gold
Personal Reference Form
Customize & share this personal reference form with your candidates. They will use it t...
Preview template
FREE TRIAL
gold
Work Abroad Application Form
Manage job applications in the easiest way possible with this work abroad application f...
Preview template
FREE TRIAL
gold
Equal Opportunity Complaint Form
Whenever job applicants feel that equal opportunity policies have been infringed, they ...
Preview templatefree
Employee Exit Interview
Add this confidential employee exit interview form to your organization and use it with...
Preview template
FREE TRIAL
gold
Employee Wellness Survey
This employee wellness survey comes with many useful features, such as email notificati...
Preview template
Ready to get started?
or explore more templates.
