Navajo Nation Workers Compensation Program
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Employment
Forms
Forms
Forms
Form Designation
Medical Waiver Statement Form
(205 KB)
Employee
Report of Injury
(190 KB)
Supervisor/Employee
Traditional Healing Services Form
(203 KB)
Employee/Traditional Healer
Travel Expense Report
(55.0 KB)
Employee
IHS: Authorization for Disclosure of Medical Information:
Employee
Release to Return to Work:
(165 KB)
SERVICE
Responsibilities
Claims Processing Flowchart
INFORMATION LINKS
Employee Benefits Program
Insurance Service Department
Risk Management Program
Safety Loss/Control Program
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