New Jersey Workers Comp Forms

Find New Jersey workers compensation forms and employer guides.

New Jersey is a very strict state with regard to workers compensation insurance. We maintain a document library of the most common forms and helpful guides needed for understanding and managing workers comp coverage in New Jersey. We make every effort to maintain the most current forms available and are happy to help business owners find any form related to workers comp coverage in the state of New Jersey.

In New Jersey, every work-related accident should be documented with a First Report of Injury Form (Form IA-1). Employers who are notified by an employer about a work related accident should contact their insurance company or TPA as soon as practical so that a First Report of Injury can be filed by the carrier with the state of New Jersey.

Need more help with New Jersey workers' compensation? Give us a call today at 888-611-7467 to speak with a work comp Specialist.

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New Jersey Workers Compensation Forms

NJ Acord 130 Workers Compensation Application

The accepted state workers compensation application for New Jersey Employers.

NJ Acord 132 Workers Compensation Insurance Plan Instructions

A summary of the rules and instructions that apply to the request for coverage through the New Jersey Workers Compensation Plan.

New Jersey First Report of Injury Form 1A-1

The NJ first report of injury form is required to be completed for each employee injury and sent to your insurance company.  Instructions are included on the form.

New Jersey Subsequent Report of Injury Form 1A-2

The NJ subsequent report of injury form must be electronically filed with the state within 26 weeks after a workers has reached maximum medical improvement or has returned to work.  The carrier will complete this form.

New Jersey Notice of Election and Exemption Form

Application to elect owner inclusion or exemption for a NJ workers comp policy.

New Jersey Workers Compensation Posting Notice for Employees

Employers are required to post and maintain notices at the workplace naming the insurance company and policy period.

NJ Employers Guide to Workers Compensation
NJ Summary Guide to Workers Compensation

The official New Jersey employers guides to work comp as published by the NJ State Division of Workers Compensation.

New Jersey Rules of the Division of  Workers Compensation

NJ work comp rules and regulation in NJ including provisions, definitions, claims, and benefits.

State Resources for New Jersey

New Jersey Department Of Insurance

20 West State Street
Trenton, NJ 08625
NJ Department of Insurance

NJ Compensation Rating and Inspection Bureau

60 Park Place
Newark, NJ 07102

NJ Division of Workers' Compensation

PO Box 381
Trenton, New Jersey, 08625-0381
NJ Division of Workers Compensation

Workers compensation insurance is required by law for all Jersey employers. Even out-of-state employers who hire employees in New Jersey or perform work in the state are required to buy coverage in NJ.

New Jersey 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 New Jersey.

Find Affordable Workers Comp Programs in Your State


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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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