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Political Subdivision Employer Responsibilities for Workers’ Compensation

Learn about workers’ compensation regulations that apply to employers.

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Template

Bona Fide Offer of Employment Template

When the doctor clears your injured employee to return to work, use this template to issue a bona fide offer of employment that meets state requirements.

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Form

Employee Acknowledgement of Alliance Direct Contracting Program

Employees must sign this form acknowledging they understand how to receive health care in the Political Subdivision Workers’ Compensation Alliance. Available in English and Spanish.

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Political Subdivision Employer Responsibilities for Workers’ Compensation

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Bona Fide Offer of Employment Template

Employee Acknowledgement of Alliance Direct Contracting Program