First Report of Occupational Injury or Disease
- The employer must complete and file with their workers' compensation insurance carrier a first report of injury within 10 days of notice of a work accident resulting in personal injury.

Agreement
- Carriers and self-insured employers must use this form to report to OWC payment agreements with injured workers.

Agreement for Compensation for Death
- Carriers and self-insured employers must use this form to report payment agreements for a work injury involving an injured workers' death.

Petition for Commutation
- Carriers and self-insured employers may file this petition for a hearing where the Industrial Accident Board (or a hearing officer) decides whether or not the parties may commute payments for a case.

Petition to Determine Additional Compensation Due
- Injured workers may file this petition for a hearing where the Industrial Accident Board (or a hearing officer) decides issues involving work injuries already accepted as compensable.
- Health Care Providers may file this petition for a hearing where the Industrial Accident Board (or a hearing officer) decides issues involving injured workers whose 1) work injuries are already accepted as compensable; and 2) unpaid medical treatment does not fall under one of the workers' compensation health care practice guidelines. Except for sole proprietors, health care providers must file petitions through an attorney, who is also a member of the Delaware State Bar Association.

Petition to Appeal a Utilization Review
- Parties may file this petition to appeal a utilization review determination as part of the new Delaware Workers' Compensation Health Care Payment System (HCPS). Parties must file this petition within 45 days of receipt of the UR determination, pursuant to 19 DE Admin Code 1341, Section 5.5.1.

Petition to Determine Compensation Due
- Injured workers may file this petition for a hearing where the Industrial Accident Board determines the compensability of a work injury.

Petition to Determine Compensation Due to Dependents of Deceased Employee
- Injured workers may file this petition for a hearing where the Industrial Accident Board determines the compensability of a work injury involving the employee's death.

Petition to Determine Disfigurement
- Injured workers may file this petition for a hearing where the Industrial Accident Board (or hearing officer) determines the amount of compensation for disfigurement, pursuant to 19 Del.C. §2326(f).

Petition to Review Compensation Agreement
- Carriers and self-insured employers may file this petition to terminate an injured workers' benefits.

Pre-Trial Memorandum
- Petitioner's counsel shall complete this form and send it to respondent's counsel. Respondent's counsel shall complete respondent's portion and return to petitioner's counsel who shall file it with the Department and send a copy to respondent's counsel. (Board Rule No. 9)

Receipt
- Carriers and self-insured employers must file this form to report to OWC when the injured worker receives payment for any item covered in the Workers' Compensation Act (19 Del.C. Ch. 23).

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