Workers Compensation

Workers Comp Forms for HI

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Hawaii Workers Comp Forms

Find Hawaii workers compensation forms and coverage guides.

At Workers Compensation, 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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Need an HI Form? Call 888-611-7467 for an Hawaii Workers Compensation Specialist

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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.

PayGo and Pay by Pay workmans compensation

The fast and easy way to purchase workmen's comp insurance

Cash flow your business with Pay As You Go work Comp

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Hawaii Notice Requirement


Employers must tell their employees that they carry workers’ compensation insurance by providing a written notice of coverage to new employees upon hire. Employers must also post a written notice at their place of business telling their employees that they carry workers’ compensation insurance. The notice must be in English, Spanish, and any other language that is common to the employees and must be posted at conspicuous locations at the employers’ place of business.

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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

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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.

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Find Affordable Workers Comp Programs in Your State

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Get more afforable insurance quotes for your business.


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

Purchase cheaper workmans comp coverage.


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

Pay As You Go and other lower deposit programs


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

Learn more about workers compensation insurance in Hawaii Work Comp:   Hawaii | HI Programs| HI Rates | HI Forms | HI Info | HI Quotes
Workers Compensation Agents #1 Agency in Hawaii

At Workers Compensation it is our goal to be the #1 agency in Hawaii for Workers Comp Coverage. We partner with dozens of insurance providers who are eager to quote your policy. Because of this large network of providers we are confident we can find you the most complete coverage at the absolute lowest rates.

Give one of our Hawaii workers compensation Specialists a call today at 888-611-7467 for a free, no-obligation quote on workers compensation insurance.

Hawaii Agency License: 364115
National Producer Number: 5064979

Contact a Hawaii Workmans Comp Specialist