Forms

• Workers' Compensation Claim Questionnaire --  or
• WCP Claim Teams 
• Medical Authorization --  or
• Form 20 -- Work Capabilities Form  or
• Mileage Reimbursement Request --  or
• Accident/Incident Analysis Form 
• Ergonomic Assessment Request
• Sample of a Modified Duty Extension Letter
• Sample of a Modified Duty Has Expired Letter
• Sample of Work Related Modified Duty Agreement Letter
• tmesys First Fill Prescription Card  

 Publications

• Employee's Guide to Workers' Compensation
• Employer's Guide to State of Vermont Workers' Compensation and Injury Prevention 
• What Do I Do If I Get Injured On The Job?
• Employee Information & Responsibilities 
• Ergonomic Equipment Guide 
• Exercise Balls as Office Chairs

Annual Actuarial Audits

• Hardy Consulting Services--2012 
• Hardy Consulting Services--2011 

General Information & Materials

• Vermont Developing an Effective Safety and Health Program
• Administrative Policy - Violence in the Workplace

Related Links

• American National Standards Institute (ANSI)
• Center for Disease Control and Prevention (CDC)
• Environmental Protection Agency (EPA)
• Federal Emergency Management Agency (FEMA)
• HAZ-MAP (A Relational Database of Hazardous Chemicals and Occupational Diseases)
• Material Safety Data Sheets (MSDS)s
• National Safety Council
• National Fire Protection Association (NFPA)
• National Institute for Occupational Safety and Health (NIOSH)
• Occupational Safety and Health Administration (OSHA)
• OSHA BRIEF - Hazard Communication Standard - Safety Data Sheets 
• OSHA Effective Dates - Globally Harmonized System (GHS) 
• Office of Purchasing and Contracting (STATE OF VERMONT)
• Protecting Yourself from Noise in Construction
• Vermont Occupational Safety and Health Administration (VOSHA)

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