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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


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