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Montana Workers Compensation Forms

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Montana Workers Compensation Insurance
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Workers Compensation Shop.com welcomes employers and employees to our Montana Forms Library.  All of our MT forms, guides, and applications are 100% free for your download and use.

We keep our forms library up-to-date with the most current workers comp forms and guides available for Montana.

One of our licensed Specialists would enjoy the opportunity to answer questions about your workers compensation coverage or to help you get started on a work comp quote today.  Call us at 888.611.7467 or start an online quote by clicking Montana state.

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Questions? Call 888.611.7467 for a Workers Compensation Shop Specialist

 

 MT Comp Forms

 

Montana Workers Compensation Forms

MT Acord 130 Workers Compensation Application

The standard Acord 130 application form for workers comp coverage in Montana.

Montana First Report of Injury Form

IL First Report of Injury Form.  Employers should complete this form and send to their insurance company each time an injury occurs.

First Report of Injury of Occupational Disease Instructions

Instruction to help properly complete and file the First Report of Injury or Occupational Disease Form.

Montana Workers' Compensation Coverage Election/Rejection Form for Sole Proprietors

Complete this form to select elect or reject workers' compensation coverage for Sole Proprietors, Partners, and LLCs in the state of Montana.

Montana Workers' Compensation Coverage Election/Rejection Form for Officers

Complete this form to select elect or reject workers' compensation coverage for officers in the state of Montana.

Application for Insurance Coverage Instruction/Information

Information and instructions to assist completing the Application for Insurance Coverage for the state fund.

Application for Insurance Coverage

Complete this Application for Insurance Coverage to apply for insurance from the state fund.

Workers' Compensation Insurance and Safety Program Brochure

This is an information highlight of the Montana Workers' Compensation Insurance and Safety Program and application for the Chamber of Commerce.


State Resources for Montana

State of Montana

www.mt.gov/

MT Department of Labor and Industry

www.dli.mt.gov/
Post Office Box 1728
Helena, Montana 59624-1728
(406) 444-2840

Montana Employment Relations Division

www.erd.dli.mt.gov/
(406) 444-6543

Workers’ Compensation Claims Assistance Bureau

www.erd.dli.mt.gov/wcca-bureau.html
Beck Building
1805 Prospect Avenue
Helena, Montana 59624
(406) 444-6543

MT Workers’ Compensation Regulations Bureau

www.erd.dli.mt.gov/workers-comp-regulations-bureau.html

Workers’ Compensation Court

www.wcc.dli.mt.gov/
(406) 444-7794

Montana State Fund

www.montanastatefund.com/
855 Front Street
Helena, Montana 59601
Claim Reporting/Customer Service: (800) 332-6102

 

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Tip: Buying MT Work Comp

Montana state law allows insurance providers to issue credits and debits on manual premium rates up to 25%.  This means that employers with good claims experience and modifiers may be eligible for a policy credit.  Our agents are trained to request maximum credits from our insurance carriers when applicable.

 

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