Workers' Comp Forms
Workers' Comp claims should be made by the employee by completing the form below. 

Claim Form

If you have been injured and do not wish to pursue your incident as a work-related injury please complete this form and email it to  Election of Remedy

If you have any questions or concerns regarding Workers' Comp please contact:

Jessica Allen, Workers' Comp Coordinator
Phone: (979) 277-3700 x2111