|
Claimant's Statement (Non-Represented Claimant Only) 14-0163 |
14-0163.pdf |
|
Claimant's Confidential Information Sheet 14-0171 |
14-0171-CONFIDENTIAL.pdf |
|
Charge Account Application |
14-0093.pdf |
|
Authorization to Release Information Regarding Claimants Seeking Workers' Compensation Benefits 14-0043 |
14-0043.pdf- patients waiver-.pdf |
|
Application for Payment of Benefits — Form 14-0037 |
Application for Payment of Benefits -- Form 14-0037 -- July 2019.pdf |
|
Application for eFiling Exception — Form 14-0177 |
Application for eFiling Exception -- Form 14-0177 -- July 2019.pdf |
|
Answer Concerning Vocational Rehabilitation Program Benefit — Form 100B (14-0009A) |
Vocational Rehabilitation Program Benefit -- Answer -- Form 100B - 14-0009A -- July 2019.pdf |
|
Answer Concerning Independent Medical Examination — Form 100A (14-0007A) |
Form -- Independent Medical Examination -- Answer -- July 2019.docx_.pdf |
|
Answer Concerning Application for Alternate Care -- Form 100C (14-0011A) |
Alternate Care -- Answer -- Form 100C - 14-0011A -- July 2019.pdf |
|
AMA Guides Task Force – Report of Member Matthew Dake |
dakereport.pdf |
|
AMA Guides Sixth Edition Report by R. Saffin Parrish-Sams |
psamsreport.pdf |
|
Agreement for Settlement — Form 14-0021 |
Agreement for Settlement -- Form 14-0021 -- Sept. 2019.pdf |
|
2017-2018 Questions and Answers Brochure - Ratebook |
2017-2018_Q&A_Brochure.pdf |
|
2016 Iowa Workers' Compensation Manual - Ratebook (Excel) |
2016-2017 Iowa Workers' Compensation Manual - Ratebook WEB.xlsx |
|
2015-2016 Questions and Answers Brochure |
00-0026 Workers Compensation Question and Answers Brochure 2015 06 Color.pdf |
|
2015 Iowa Workers' Compensation Manual - Rate Table |
rate2015.pdf |
|
2014-2015 Workers' Compensation Questions and Answers Brochure 00-0026 |
qa14-15.pdf |
|
2014-2015 Ratebook |
rb14-15.pdf |
|
2014 Iowa Workers' Compensation Manual - Ratebook |
rb2014-15.xlsx |
|
2013-2014 Ratebook |
2013-2014ratebook.pdf |
|
2013 Iowa Workers' Compensation Manual - Ratebook |
Rate Book 2013-14 Web (1).xlsx |
|
2012-2013 Ratebook |
12ratebookcover.pdf |
|
2012 Iowa Workers' Compensation Manual - Ratebook |
2012-13ratebooktable.xlsx |
|
2011-2012 Ratebook |
2011ratebook.pdf |
|
2011 Iowa Workers' Compensation Manual - Ratebook |
RateBook2011_Web.xls |
