This page contains links to various workers’ compensation forms. Some are direct links to official state forms, while others have been created by RateFast. It is the responsibility of the user to check all applicable laws before using forms.
California
All official California forms can be found on California’s Department of Industrialization website.
- Doctor’s first report of occupational injury or illness (5021) – Official California initial visit form for providers.
- Primary Treating Physician’s Progress Report (PR-2) – Official California follow-up visit form for providers.
- Primary treating physician’s permanent and stationary report (PR-4) – Official California impairment rating form for providers.
Hawaii
- Hawaii Workers’ Compensation Report – RateFast generated form based on Hawaii’s official WC-2 form.