Nevada Forms
8 State Forms found
| name | number | revision | print or send online | |
|---|---|---|---|---|
LUMP SUM REHABILITATION AGREEMENT |
D-29 | (rev. 7/99) | ||
NOTICE OF INTENTION TO CLOSE CLAIM |
D-31a | (rev 07/25) | ||
REQUEST FOR HEARING - CONTESTED CLAIM |
D-12a | (Rev. 10/2018) | ||
REQUEST FOR HEARING - UNINSURED EMPLOYER |
D-12b | (Rev. 07/25) | ||
COMPLAINT FORM - ONLINE SUBMISSION ONLY |
WCS COMPLAINT FORM | (REV. 6/2/25) | ||
NOTICE OF CIRCUMSTANCES UNDER WHICH A CLAIM MAY BE CLOSED UNDER SUBSECTION 2 OF NRS 616C.235 |
D-31b | (rev 10/2024) | ||
NOTICE OF INTENTION TO CLOSE CLAIM OF LESS THAN $800 IN MEDICAL BENEFITS IN 12 MONTHS- NO PERMANENT PARTIAL DISABILITY EVALUATION |
D-31c | (rev 07/25) | ||
NOTICE OF INTENTION TO CLOSE CLAIM OF LESS THAN $800 IN MEDICAL BENEFITS IN 12 MONTHS- PERMANENT PARTIAL DISABILITY EVALUATION SCHEDULED |
D-31d | (rev 07/25) | ||
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