Office of Administration
 Matt Blunt, Governor - Larry Schepker, Commissioner
 
 
 



General Services

Risk Management

Workers' Compensation (CARO) Injured Employees' Resources

CARO Forms

CARO Forms can either be downloaded in the OneForm format, or they may be directly linked to as PDF files.  CARO forms may be sent via e-mail, mail or fax (click here for addresses and fax number).  

  • OneForm CARO Forms
    OneForm format allows the user to complete the form on the computer.  If you are using the OneForm format, you must download and run the Setup Program first (instructions are in this link).  This setup must be run before using the Forms Management OneForm 32 bit forms.  After downloading the form to an easily accessible folder, open the program, complete the set-up, and type your information into the form.   The form can then either be saved and attached to an e-mail and sent to CARO.  Click here to download the OneForm version of all CARO forms.  Click below to download the individual forms. 
  • PDF CARO Forms
    Once you have Adobe Acrobat Reader (Get it HERE), click on the desired link to open the form.

Initial Injury Report (Form 0)

Authorization to Release Medical Records

Mileage Reimbursement Request 

Time Lost Report for Workers' Compensation Injuries

Employee Injury Report 

Supervisor Statement

Witness Statement

Eyeglasses Report

Physical Assessment Form

Duty Assignment Form 

Vendor Input Form

Initial Injury Report (Form 0) - Used by state agencies to report injuries to CARO.  Agencies without online access to the Risk Management System must complete this form.

Authorization to Release Medical Records - Completed by injured employees.  Allows CARO access to medical records.

Mileage Reimbursement Request - Completed by an injured employee claiming mileage reimbursement to and from medical treatment.

Time Lost Report for Workers' Compensation Injuries - Used by state agencies to report days away from work as a result of workers' compensation injuries.

Employee Injury Report - Completed by the employee after an injury.

Supervisor Statement - Completed by the supervisor after an injury.

Witness Statement - Completed by any witnesses to an injury.

Eyeglasses Report - Completed in the event there is damage to an employee's eyeglasses.

Physical Assessment Form - Completed by the medical provider.

Duty Assessment Form - Optional form available to agencies.  Used during modified duty assignments.

Vendor Input Form