We help business owners navigate Alabama workers' comp rules.

Welcome to our forms library for the state of Alabama. We offer free access to all Acord form applications, insurance applications, and state guides in our library. Employers and employees may download and use any of our Alabama workers' comp forms. We make every effort to keep our library updated with the most current versions of our state work comp insurance forms.

Alabama has very specific rules regarding a workers' comp exemption for business owners. Owner exclusion and inclusion requiements also vary depending on how a business is organized, or formed as a legal entity. Alabama requires Officers and LLC Members to file for exclusion each year if they do not want to be covered under a policy. Employers must file directly with the state.

Get a no-obligation consultations and free policy review. Our expert agents' specialize in workers' compensation insurance coverage for Alabama employers. Get better work comp quotes today.

Workers' Compensation Forms for Alabama

AL Application for Election and Exclusion of Officers and Stockholders

Owners and Officers of corporations should complete this form to include or exclude themselves from a work comp policy.

Employers may also apply for a workers' compensation exemptions online with the state: Alabama Owner Exemptions Online

AL Acord 130 Workers' Compensation Application

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

Alabama First Report of Injury Form

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

Alabama Application for Exclusion of Officers

Owners and Officers of corporations should complete this form to exclude themselves from a work comp policy.

AL Application for Self Insurance

Complete this form if you are applying for the privilege of self-insuring the payment of workers' compensation

Basic Claim Handling for Alabama Workers' Compensation Claims

Information about workers' compensation in Alabama for workers and employers.

Drug Free Way to Be in Alabama

Information and rules for creating and maintaining a drug free workplace.

Facts About Workers' Compensation in AL

Information about workers' compensation in Alabama for workers and employers.

Order Form for Additional Departmental Information

Use this form to order supplemental information about The Department of Industrial Relations Workers' Compensation.

Alabama Average Weekly Wage Notification

Notification containing the average weekly wage, and minimum/maximum workers' compensation payable in Alabama.

Workers' Compensation Fraud Poster

Poster discourage workers' compensation fraud.

Injury Designation Codes

This document contains a list of injury description codes and brief descriptions of the injury types..

Injury Case Table

This form is used to record the cause of an injury for a workers' compensation claim.

Alabama Mortality Table

This form contains a chart of the average life expectancies for the state of Alabama.

Workers' Comp Exemption

Each state has its own laws and requirements regarding when and how employers are allowed to opt-out of coverage under their workers' compensation policy. Some states make it easier than others because they don't require anything to be filed. Other states require special inclusion or exclusion affidavit documentation. Failure to comply often causes employers to have to pay premium on themselves even when they wanted to be excluded form coverage.

Waiver of Subrogation

A waiver of subrogation means that a business and their insurance company is foregoing all rights to file suit, or seek damages, from another business. This is common in the construction industry as builders attempt to protect their company from negligence. A workers' comp waiver of subrogation does not prevent an injured employee from filing a lawsuit for damages. This coverage typically add about $100 to the cost of a work comp policy.

Certificate of Insurance

A Certificate of Insurance is a document that serves as evidence of insurance or proof of coverage. Certificates indicate your current coverages and policy limits. Insurance Agencies issue on an insured's behalf and they often list a third party as a certificate holder. This means they should be notified if a policy cancels prior to expiration. Requests for any special wording should be carefully checked against the policy language before being added to a certificate as they can create legal issues with coverage.


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State Resources for Alabama

Alabama Department Of Industrial Relations

649 Monroe Street
Montgomery, Alabama 36131
573-751-4126
http://www.dir.alabama.gov/wc/

Alabama is under the Jurisdiction of the National Council for Compensation Insurance and contracts with Travelers as the state fund carrier.

Our agency can help employers find guaranteed fund coverage in AL, if we can't find coverage with a private insurance provider.

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Visit NCCI for more resources and information about workers' compensation class codes. Visit United States Department of Labor for more information about government agencies managing workers compensation insurance rates.

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