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Ironworkers Workers' Compensation Program

 

APPLICATION FORMS

Employer Questionnaire

Employer Acknowledgement of Participation



Applicant Attorneys' Forms

Form 103 - Complaint

Form 104 - Complaint (Death Case Only)

Form 105 - Mediation Request

Form 106 - Arbitration Request

Form 107 - Declaration of Readiness to Arbitrate

Form 108 - Notice to Testify and Produce

Form 200 - Compromise and Release

Form 200b - Order Approving Compromise & Release

Form 201 - Stipulations with Request for Award

Form 201b - Award

Form 300 - Lien Request



Ironworkers Workers' Compensation Addendum

Declaration of Trust


QUICK LINKS

Union Employees' Guide

Medical Providers

Employer Participation List



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