Workers’ Compensation information and forms for the state of NV

Workers’ Compensation Insurance can seem complicated to administer. There are many forms and various specific state regulations concerning postings and employee notification. To get the help you need to ensure employees understand coverage’s and how to report a work place injury, select the link located below.

• 221-10000 – Claim Kit Cover Letter
  Letter from The Hanover welcoming the employer to the insurance plan, includes instructions for claim reporting and creating medical provider panels.
• 221-10001 – Take Control of Workers' Compensation Costs
  This guidance will help ensure the best outcome for you and your employees following a work related injury.
• WC8642g – Attention-Brief Description Of Your Rights And Benefits If You Are Injured On The Job Or Have An Occupational Disease
  Required to be conspicuously posted at the employer's place of business so all employees have access to it.
• WC9245e – Attention-Brief Description Of Your Rights And Benefits If You Are Injured On The Job Or Have An Occupational Disease (Spanish)
  Spanish version - Required to be conspicuously posted at the employer's place of business so all employees have access to it.
• WC8660a – Notice to Employees: Election to Report Tips
  Each employer who has employees who receive tips shall prominently display at the employer's place of business so all employees have access to it.
• WC9244 – Notice to Employees: Election to Report Tips (Spanish)
  Spanish version - Each employer who has employees who receive tips shall prominently display at the employer's place of business so all employees have access to it.
• WC8644f – Employer's Report of Industrial Injury or Occupational Disease
  This form is completed by the employer to report an on the job injury or accident involving an employee.