Workers' Compensation Toolkit

This guide features an overview of workers’ compensation and what steps you should take as the employer of an injured worker. It gives insight to the responsibilities of employers and our staff to successfully handle each claim.

This form is required by all employees receiving workers’ compensation benefits in the state of Louisiana for supplemental earning benefit claims. The 1020 form should be submitted on a monthly basis to report the claimant’s previous month’s earnings.

The Candence RX Pharmacy Card is provided to each injured worker for the convenience of obtaining prescriptions related to their work injury.

This form assists the employer in documenting vital information as it relates to the employee’s injury. With questions specific to the incident, the injury and the employee, this form was designed to help create a clear understanding of the employee’s claim.

This form is required by the Office of Workers’ Compensation within 10 days of the incident. Similar to the Employee Interview Form, the FROI form documents the information of the employer, carrier, employee, occurrence and injury.

This form is required by the Office of Workers’ Compensation within 10 days of the incident. Similar to the Employee Interview Form, the FROI form documents the information of the employer, carrier, employee, occurrence and injury.

This form should be provided to the treating physician at every visit to provide the employer with a current work status of the injured worker if they have been given restrictions from full duty employment.

This form should be provided to the treating physician at every visit to provide the employer with a current work status of the injured worker if they have been given restrictions from full duty employment.

The Candence RX Pharmacy Card is provided to each injured worker for the convenience of obtaining prescriptions related to their work injury.

This is a pharmacy benefit card for injured workers for their first fill following a work related injury.

This is a pharmacy benefit card for injured workers for their first fill following a work related injury for TPA employers.

This letter can be provided and will be sent to injured workers explaining how to obtain prescriptions related to a work injury.

This letter can be provided and will be sent to injured workers explaining how to obtain prescriptions related to a work injury.