| Form | Description | Doc | Fee | |
|---|---|---|---|---|
| 16 | Agreement for Permanent Disability/ Disfigurement Compensation | Doc | $50.00 if Claimant Represented | |
| 16A |
Agreement for Permanent Disability/ Disfigurement Compensation (injuries after July 1, 2007) |
Doc | $50.00 if Claimant Represented | |
| 17 | Receipt of Compensation | Doc | No Fee | |
| 20 | Statement of Earning of Injured Employee | Doc | No Fee | |
| 24 | Application for Lump Sum Award | Doc | $50.00 | |
| 27 | Subpoena | Doc | No Fee | |
| 30 | Request for Commission Review (Appellate Panel Review) | Doc | $150 | |
| 32 | Request to Waive Filing Fee | Doc | No Fee | |
| 50 | Employee's Notice of Claim or Hearing Request | Doc | $50/ Hearing Request only | |
| 52 | Employee's Notice of Claim or Hearing Request (Death Claim) | Doc | $50.00/ Hearing Request only | |
| 58 | Pre-Hearing Brief | Doc | No Fee | |
| 59 | Appellant's Informational Brief | Doc | No Fee | |
| 65 | Occupational Disease Waiver | Doc | No Fee | |
| S-2 | Notice of Third-Party Action (Employee) | Doc | No Fee | |
| Single Commissioner Decision & Order Template | Doc | No Fee | ||
| Appellate Panel Decision & Order Template | Doc | No Fee | ||
| Certificate of Service | Doc | No Fee |
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