Delaware Workers Comp Forms

Find Delaware workers compensation forms and coverage help guides.

At Workers Compensation Shop.com we attempt to offer free access to Delaware's workers' compensation forms, applications and guides. We strive to keep our library up to date with the latest versions of every form you may need.

As with all information we provide, please verify the accuracy of this information with the Delaware Office of Workers' Compensation

If you have questions about a workers comp form, feel free to contact a specialist at 888-611-7467. We want to be your source for workers compensation information, rates and quotes in Delaware.

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Delaware Workers Compensation Insurance Forms

DE Acord 130 Workers Compensation Application

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

Delaware First Report of Injury Form

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

Delaware Application for Exclusion of Officers

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

Delaware Application for Exclusion/Election of Officers

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

State of Delaware Office of Workers' Compensation Agreement as to Compensation

Complete this form when parties involved have reached a settlement agreement to record the details of the compensation.

Delaware Application for Exemption for Workers' Compensation Insurance

The use of this form is required by the Delaware Workers' Compensation Statute to report all information specific to a specific workers' compensation injury.

Facts About Workers' Compensation in Delaware

Delaware workers' compensation manual for rules, classifications and rating values for workers' compensation and for employers liability insurance.

State Resources for Delaware

Delaware Office of Workers' Compensation

State Office Building, Sixth Floor
820 North French Street
Wilmington, Delaware 19801
302-761-8001
http://dia.delawareworks.com/

Delaware Office of Insurance Commissioner

841 Silver Lake Blvd., Rodney Building
Dover, DE 19904
302-739-4251
www.delawareinsurance.gov/

Workers compensation insurance is required by law for Delaware employers.

Delaware forms and applications such as owners inclusion or exclusion forms are sometimes updated by the state. Contact us if you need help or can't find the workers compensation form your need for Delaware.

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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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