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Unemployment Insurance
Workers' Compensation
 
Product Manufacturer SKU More Info
Minnesota 2007 Collection and Assessment of Fines and Penalties Report (published January 2008) StateFP FFMN330
Minnesota 2007 Prompt First Action Report on Workers' Compensation Claims (published January 2008) StateFP FFMN335
Minnesota Affidavit of Significant Financial Hardship AS01 StateFP FFMN030
Minnesota Analysis of independent medical examinations filed with the Department of Labor and Indust StateFP FFMN355
Minnesota Annual Claim for Reimbursement From the Secondary Injury Fund AR04 StateFP FFMN035
Minnesota Annual Claim for Reimbursement of Supplementary Benefits AC03 StateFP FFMN040
Minnesota Appeal Hearing Guide StateFP FFMN010
Minnesota Authorization for file review or release of copies of workers' comp claim file (FE0005) StateFP FFMN265
Minnesota Benefit Addendum (BA01) StateFP FFMN270
Minnesota Claim Petition for Dependency Benefits or Payment to Estate CP03 StateFP FFMN045
Minnesota Direct Deposit StateFP FFMN025
Minnesota Disability Status Report DS01 StateFP FFMN050
Minnesota Election to Exclude Relatives of Executive Officers of a Closely-held Corporation (BMR02) StateFP FFMN315
Minnesota Election to Exclude Relatives of Managers of a Limited Liability Company (BMR01) StateFP FFMN320
Minnesota Employee or Insurer's Objection to Requested Attorney Fees and/or Costs RT01 StateFP FFMN055
Minnesota Employee's Claim Petition StateFP FFMN060
Minnesota Employee's guide to Minnesota's workers' compensation system StateFP FFMN370
Minnesota Employee's Objection To Discontinuance ED02 StateFP FFMN065
Minnesota Employee's Request for Administrative Conference EQ05 StateFP FFMN070
Minnesota Excess Fee Exhibit PF04 StateFP FFMN075
Minnesota First Report of Injury FR01 StateFP FFMN080
Minnesota Guide to the Online Application StateFP FFMN005
Minnesota Health Care Provider Report HC01 StateFP FFMN085
Minnesota How to Apply for Benefits StateFP FFMN015
Minnesota Information Handbook StateFP FFMN020
Minnesota Interim Status Report IS03 StateFP FFMN090
Minnesota Intervention Cover Letter (MO0001) StateFP FFMN275
Minnesota Intervention Motion (MO0001) StateFP FFMN280
Minnesota Intervention Service Affidavit StateFP FFMN290
Minnesota Intervention Stipulation (LE0002) StateFP FFMN285
Minnesota Medical Request - Instructions StateFP FFMN100
Minnesota Medical Response MR03 StateFP FFMN105
Minnesota Notice of Appeal to Workers' Compensation Court of Appeals (NO0016) StateFP FFMN295
Minnesota Notice of Appearance of Attorney for Employee NA03 StateFP FFMN110
Minnesota Notice of Benefit Payment NB01 StateFP FFMN115
Minnesota Notice of Benefit Reinstatement NC01 StateFP FFMN120
Minnesota Notice of Discontinuance of Workers' Compensation Benefits Upon Death of Employee BD02 StateFP FFMN125
Minnesota Notice of Discontinuance of Workers' Compensation Dependency Benefits DB02 StateFP FFMN130
Minnesota Notice of File Closing (NF01) StateFP FFMN300
Minnesota Notice of Insurer's Primary Liability Determination NL01 StateFP FFMN135
Minnesota Notice of Intention to Claim Reimbursement From the Second Injury Fund StateFP FFMN140
Minnesota Notice of Intention to Discontinue Workers' Compensation Benefits (ND01) StateFP FFMN145
Minnesota Notice of Penalty Payment (NO0015) StateFP FFMN305
Minnesota Objection to Penalty Assessment (CE0003) StateFP FFMN150
Minnesota On the Job Training Plan (JA04) StateFP FFMN155
Minnesota Permanent Total Disability Agreement (PA04) StateFP FFMN160
Minnesota Petition for Taxation of Actual and Necessary Disbursements (PT03) StateFP FFMN165
Minnesota Plan Progress Report (PR01) StateFP FFMN170
Minnesota R-2 Rehabilitation Plan - Spanish StateFP FFMN190
Minnesota R-2 Rehabilitation Plan (RE01) StateFP FFMN185
Minnesota R-3 Rehabilitation Plan Amendment - Spanish StateFP FFMN200
Minnesota R-3 Rehabilitation Plan Amendment (RP01) StateFP FFMN195
Minnesota R-8 Notice of Rehabilitation Plan Closure - Spanish StateFP FFMN180
Minnesota R-8 Notice of Rehabilitation Plan Closure (NR01) StateFP FFMN175
Minnesota Rehabilitation Consultation Report (RC01) StateFP FFMN205
Minnesota Rehabilitation Request - Spanish StateFP FFMN215
Minnesota Rehabilitation Request (RQ03) StateFP FFMN210
Minnesota Rehabilitation Response - Spanish StateFP FFMN225
Minnesota Rehabilitation Response (RR03) StateFP FFMN220
Minnesota Rehabilitation Rights and Responsibilities of the Injured Worker - Spanish StateFP FFMN235
Minnesota Rehabilitation Rights and Responsibilities of the Injured Worker (IW05) StateFP FFMN230
Minnesota Report of Work Ability (RW01) StateFP FFMN240
Minnesota Request for Certification of Dispute (CA0022) StateFP FFMN310
Minnesota Request for Extension (QE03) StateFP FFMN245
Minnesota Request for Formal Hearing (RF03) StateFP FFMN250
Minnesota Retraining Plan (EP04) StateFP FFMN255
Minnesota Statement of Attorney Fees (SA04) StateFP FFMN260
Minnesota Workers' compensation claims characteristics 2006 (published January 2008) StateFP FFMN340
Minnesota Workers' Compensation Division administrative profile StateFP FFMN325
Minnesota Workers' Compensation System Employee Information Sheet StateFP FFMN360
Minnesota Workers' Compensation System Report, 2006 (published July 2008) StateFP FFMN350
Minnesota Workers' compensation teen claim characteristics, 2003-2005 (published April 2007) StateFP FFMN345
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