Home   
Site Menu
Philosophy
What We Do
Our Staff
What To Do If An Employee Is Injured
Customer Service
Preferred Clinic And Hospital List
Forms -
C3 and D-8
Arizona Forms and Provider List
California Forms and Provider List
Idaho Forms
S&C Claims Utah
S&C Claims Missouri
Home

IDAHO FORMS

Click on the links below to access some of the most commonly used forms.

Contact Info:
UBIC/Amtrust Claims
P.O. Box 140577
Boise, ID 83714
Julie Mulder
Office: (208) 996-2017
Fax: (208) 853-4076

Idaho First Report of Injury

Job Analysis - Full Duty*

 

Job Analysis - Light Duty*

Form A*

Form B*

Form C*

Form D*

Form E*

 

Fill out using Adobe Acrobat Reader and then sign and fax to us at (208) 853-4076

 

*Requires Adobe Acrobat Reader.  Click the link below if you do not have it:
Get Adobe Reader