Risk ManagementWorkers' Compensation (CARO) Injured Employees' ResourcesCARO FormsCARO 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).
Initial Injury Report (Form 0) Authorization to Release Medical Records Time Lost Report for Workers' Compensation Injuries 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.
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