Urling's Medical Forms

Includes all needed software to produce the  LIBC Medical Report, 344, Employer’s Report of Industrial Injury, LIBC  49, Physician’s Affidavit of Recovery, LIBC , Application for Fee Review, and LIBC 76 Rating Determination Face Sheet.

Simply insert the self-installing compact disks and launch the included forms engine, select the form you need to complete and enter information in the blank fields marked with a yellow block. Tab to the next field and enter the information. Click the print button and print the completed form. It really is that easy!

Pricing (Add 6% PA Sales Tax, if applicable)

Description Price
Single workstation $189
Five workstations $359
Five additional workstations $299

To order, email jack@urlings.com.  State sales tax status (pay or not), mailing address, contact name and phone number.