Montana Workers Comp Forms

Find Montana workers compensation forms and employer guides.

We offer free access to most forms necessary for workers comp coverage in the state of Montana. We work hard to keep these forms accurate and up to date.

As with all information we provide please verify the accuracy of this information with the Montana Department of Labor and Industry.

If you have questions, feel free to contact one of our experts at 888-611-7467. For faster service you can start a quote online.

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Montana Workers Compensation Insurance 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.

MT 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

MT Dept of Labor and Industry

P.O. Box 8011
Helena, MT 59624-8011
406-444-6532
http://dli.mt.gov/

MT Work Comp Regulation Bureau

P.O. Box 8011
1805 Prospect Avenue
Helena, MT 59624-8011
406-444-6541
http://erd.dli.mt.gov/

Workers compensation insurance is required by law for Montana employers.

Montana 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 Montana.

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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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