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Verification of Non-Employment

• Login Help for myWSI
• Do I need workers compensation coverage?
• Employers Resources
• If you have applied for a contractors license
• Insurance Coverage

Incident Report

Employment Contact Log

First Report of Injury (FROI)

Fraud Investigation Referral

Income and Work Status

Preferred Worker Program Inquiry

• Employment Contact Log Download/Print (R14)
• Injured Worker Contact (Prior Injury & Pre-Existing Condition Follow-Up) (C96a)
• Repetitive Motion Questionnaire (C63)
• Request for Personal Reimbursement (C40a)
• Request for Payment for Home Health Care (C40b)

Claim Lookup

Fee Schedule

Fraud Investigation Referral

• Billing/Payment
• Forms
• Pharmacy
• Prior Authorization of Services
• Treating Patients