LIBC009

Medical Report Form Authorization for Alternative

LIBC010

Delivery of Compensation Payments

LIBC025

Appeal from Judge's Findings of Fact and Conclusions of Law

LIBC034

Commutation petition

LIBC035

Answer to Petition for Commutation of Compensation

LIBC336

Agreement for Compensation for Disability or Permanent Injury

LIBC337

Supplemental Agreement for Compensation for Disability or Permanent Injury

LIBC338

Agreement for Compensation for Death

LIBC339

Supplemental Agreement for Compensation for Death

LIBC340

Final Receipt

LIBC344

Employer's Repoprt of Industrial Injury

LIBC362

Claim Petition

LIBC363

Fatal Claim Petition

LIBC364B

Defendant's Answer to Claim Petition Under PA Occupational Disease Act

LIBC374

Defendant's Answer to Employee Claim Petition

LIBC376

Petition for Joinder of Additional Defendant

LIBC377

Answer to Petition (Multiple Use)

LIBC378

Petition (Multiple Use)

LIBC380

Third Party Settlement Agreement

LIBC384

Fatal Claim Petition - Occupational Disease Act

LIBC392

Statement of Account of Compensation Paid

LIBC396

Claim Petition Under Section 301(i) of the Occupational Disease Act

LIBC494A

Statement of Wages (On or Before June 23, 1996)

LIBC494C

Statement of Wages (After June 24, 1996)

LIBC495

Notice of Compensation Payable

LIBC496

Notice of Workers' Compensation Denial

LIBC497

Physician's Affidavit of Recovery

LIBC498

Commutation of Compensation (Without Petition)

LIBC499

Petition of Employer for Physical Examination of Employee

LIBC500

Posting Notice

LIBC501

Notice of Temporary Compensation Payable

LIBC502

Notice Stopping Temporary Compensation

LIBC507

Application for Fee Review Pursuant to Section 306 (f.1)

LIBC509

Application for Executive Officer Exception

LIBC510

Employer's Application to Elect Domestic Employees

LIBC513

Executive Officer's Declaration

LIBC601

Utilization Review Request

LIBC603

Petition for Review of Utilization Review Determination

LIBC620

Peer Review Request

LIBC662

Application for Supersedeas Fund Reimbursement

LIBC686

Petition for Finding of Violation of the Terms of the Act (Penalty Petition)

LIBC750

Employee report of Wages

LIBC751

Notification of Suspension or Modification Pursuant to ''413 (c) & (d)

LIBC752

Insurer's Affidavit Pursuant to ''413 (c) & (d)

LIBC753

Notice of Request for an Informal Conference

LIBC754

Informal Conference Agreement Form

LIBC755

Compromise and Release Agreement by Stipulation

LIBC756

Employee's report of Benefits For Offsets

LIBC757

Notice of Ability to Return to Work

LIBC760

Employee Verification of Employment Self- Employment or Physical Change

LIBC761

Notice of Workers' Compensation Benefit Offset

LIBC762

Notice of Suspension for Failure to Return form LIBC-760

LIBC763

Notice of Reinstatement of Workers' Compensation Benefits

LIBC764

Notice of Change in Workers' Compensation Disability Status

LIBC765

Impairment Rating Evaluation Appointment

LIBC766

Request for Designation of a Physician to Perform an IRE

LIBC767

Impariment Rating Determination Face Sheet