Rule 8. Forms--Preparation and Adoption--Use
Oklahoma Statutes AnnotatedTitle 85. Workers' Compensation
T. 85, Ch. 4, App., Rule 8
Rule 8. Forms--Preparation and Adoption--Use
The Court shall prepare and adopt such forms for use in matters before the Court as it may deem necessary or advisable. Whenever Court forms are prescribed and are applicable, they shall be used. Printed copies of all forms may be procured in reasonable quantities upon request to the Clerk of the Court, or may be downloaded from the Court's web site.
The following forms have been adopted by the Court:
Form 1A: Oklahoma Workers' Compensation Notice and Instruction to Employers and Employees.
Form 1B: Employer's Application for Permission to Carry Its Own Risk Without Insurance.
Form CCS: Certificate to Compromise Settlement.
Form CS-Appendix: Appendix to Compromise Settlement.
Form CS-339-A: Compromise Settlement.
Form CS-339-B: Compromise Settlement--Agreement Between Employer and Employee as to Fact with Relation to an Injury and Payment of Compensation.
Form CSD-337: Compromise Settlement (Death Claim).
Form 2: Employer's First Notice of Injury.
Form 3: Employee's First Notice of Accidental Injury and Claim for Compensation.
Form 3A: Claimant's First Notice of Death and Claim for Compensation.
Form 3B: Employee's First Notice of Occupational Disease and Claim for Compensation.
Form 3F: Employee's Notice of Claim for Benefits from the Multiple Injury Trust Fund.
Form 4: Treating Physician's Report and Notice of Treatment.
Form 5: Physician's Report on Release and Restrictions.
Form 7: Designation of a Service Agent.
Form 9: Motion to Set for Trial.
Form 10: Answer and Pretrial Stipulation Offered by Respondent.
Form 10A: Respondent's Response to Claimant's Form A Application for Change of Physician.
Form 10M: Response to Request for Payment of Charges for Medical or Rehabilitation Services.
Form 13: Request for Prehearing Conference.
Form 17: Physician Disclosure Statement.
Form 18: Request for Court Administrator Review of Medical Charges.
Form 19: Part I. Request for Payment of Charges for Health or Rehabilitation Services.
Part II. Notice of Appeal of Court Administrator Order.
Form 20: Proof of Loss (Death Claim).
Form 93: Application and Order For Leave to Withdraw as Attorney of Record.
Form 99: Pauper's Affidavit.
Form 100: Claimant's Application and Order for Dismissal.
Form 463: Application for Physicians Seeking Appointment as an Independent Medical Examiner.
Form 626: Application for Medical Case Manager.
Form 862: Application for Vocational Rehabilitation Evaluator.
Form A: Claimant's Application for Change of Physician and Request for Hearing.
Form 926: Mediator Application.
NPT Request: Nunc Pro Tunc Request.
Request for Appointment of Independent Medical Examiner, Rehabilitation Evaluator or Medical Case Manager.
Credits
Formerly Rule 11, adopted July 12, 1990, effective November 1, 1990. Amended June 22, 1995, effective July 1, 1995; September 29, 1997, effective November 1, 1997; February 22, 2000, effective April 15, 2000; May 29, 2001, effective July 1, 2001; January 22, 2002, effective March 1, 2002. Corrected effective February 6, 2002. Renumbered Rule 8, amended effective January 30, 2006. Amended March 6, 2012, effective March 6, 2012.
Workers' Compensation Rule 8, 85 O. S. A. Ch. 4, App., OK ST WORK COMP Rule 8
Current with amendments received through April 15, 2024. Some rules may be more current, see credits for details.
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