The following forms can be filed electronically:

  • Form 101 FR - Employer's First Report of Injury - this MUST be filed electronically
  • Form 103 PC - Insurer's Notification of Payment
  • Form 104 DC - Insurer's Notification of Denial
  • Form 106 NM - Insurer's Notification of Modification of Weekly Compensation During the Payment Without Prejudice Period
  • Form 106 NT - Insurer's Notification of Termination of Weekly Compensation During the Payment Without Prejudice Period
  • Form 107 GT - Insurer's Notification of general Termination of Weekly Compensation
  • Form 107 RC/NM - Insurer's Notification of resumption or Modification of Weekly Compensation
  • Form 108 D - Insurer's Complaint for Modification, Discontinuance or Recoupment of Compensation
  • Form 110 C - Employee Claim Form
  • Form 115 TPC - Third Party Claim
  • Form 115 TPL - Third Party Notice of Lien
  • Form 116 LSR - Request for Lump Sum Conference

To be able to file electronically, you must request a login and password.