Workers' Compensation State Claims Reporting Forms
AK, AL, AZ, CA, CO, CT, DC, DE, FL, GA, HI,
IA, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN,
MO, MS, MT, NC, NE, NH, NJ, NM, NV, NY, OH,
OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT,
WI, WV, WY
DBL - Defense Based Labor
USLH - US Longshore and Harbor Workers Act
A1A - Generic State Form