Library For Employers
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Brochures:
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 (pdf 175kb)
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Deductible Program Brochure
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(pdf 158kb)
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Small Account Credit/Debit Program
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(pdf 68kb)
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Forms:
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Application for Insurance
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(pdf 42kb)
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Customer Service Feedback Form
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(pdf 29kb)
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Designated Medical Provider Selection Form
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(pdf 40kb)
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Federal Taxpayer Identification Number Request Form (W-9)
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(pdf 30kb)
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(pdf 40kb)
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First Report of Injury Instructions
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(pdf 117kb)
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(pdf 19kb)
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Preferred Worker Program - Inquiry/Employer Registration
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(pdf 45kb)
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(pdf 59kb)
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STEP Level One Application
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(pdf 1537kb)
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STEP Level Two Application
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(pdf 1541kb)
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Transitional Job Offer Form (C165)
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(pdf 29kb)
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Verification of Non-Employment for North Dakota Employer
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(pdf 35kb)
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Verification of Non-Employment for Out-of-State Employer
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(pdf 37kb)
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Manuals:
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Classification Manual 2009
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(pdf 1329kb)
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Classification Manual 2010
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(pdf 559kb)
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Classification Manual Proposed Changes 2010
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(pdf 8kb)
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Workers' Compensation Rates 2009 - 2010
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(pdf 134kb)
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Workers' Compensation Rates 2010 - 2011
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(pdf 19kb)
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Newsletters:
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Fraud Prevention Tips For Employers
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(pdf 244kb)
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(pdf 971kb)
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(pdf 1517kb)
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Other:
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Check List of State Agencies For New Businesses
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(pdf 239kb)
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Coverage Limits & Rights of Subrogation
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(pdf 196kb)
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Early Incentive Informational Letter
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(pdf 704kb)
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Employer Coverage Welcome Letter
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(pdf 131kb)
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(pdf 43kb)
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Important Experience Rate Changes
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(pdf 16kb)
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New Safety Incentive Programs Letter
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(pdf 27kb)
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Reducing Workers' Compensation Costs: Tips for Employers
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(pdf 36kb)
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Return-to-Work: An Injury Management Program
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(pdf 162kb)
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Posters:
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Important Notice to Workers Poster
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(pdf 77kb)
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Near Miss Reports and Investigations
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(pdf 406kb)
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