Hawaii Workers Comp Forms

Find Hawaii workers compensation forms and coverage guides.

At Workers Compensation Shop.com, we offer free access to the most common forms needed relating to Indiana Workers Compensation Insurance. We strive to keep these forms up to date and accurate.

As with all information we provide please verify the accuracy of this information with the Hawaii Department of Commerce and Community Affairs, Insurance Division.

If you have any questions about any of these forms, feel free to contact one of our Workers Comp Specialist's at 888-611-7467. If you are ready you can start a quote online today.

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Hawaii Workers Compensation Insurance Forms

HI Acord 130 Workers' Compensation Application.

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

Hawaii Report of Injury Form

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

Hawaii Workers Compensation Laws- Form WC-101

The Hawaii Department of Labor and Industrial Relations requires that all HI employers provide this brochure to employees within 3 days of an injury.

Hawaii Application for Exclusion of Officers and Stockholders

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

Hawaii Employee Claim Form

Complete this form to file for a workers' compensation claim.

Hawaii Employee Claim Form

Complete this form to file for a workers' compensation claim for a claimant that is deceased.

Application for Safety and Health Certification

Hawaii Occupational Safety and Health Professional Application for certification.

Facts for Injured Workers In Hawaii

Information about workers compensation in Hawaii for workers and employers.

State Resources for Hawaii

HI Dept of Commerce

Insurance Division
P.O. Box 3614
Honolulu, HI 96811

HI Dept of Labor and Industrial Relations

830 Punchbowl Street
Honolulu, Hawaii 96813

Workers compensation insurance is required by law for Hawaii employers.

Hawaii 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 Hawaii.

Find Affordable Workers Comp Programs in Your State


Find the best workers comp insurance company.

We work with over 35 workers comp insurance companies across the U.S to shop your insurance coverage for the best price.

Easy payment plans for work comp insurance.

With dozens of Pay As You Go and easy installment plans to choose from, you get more flexible options for your business.

Get Pay As You Go workers' compensation insurance.

We've developed Target Programs with our insurance companies to help find you the right insurance product with lower rates.

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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