C3 Form Workers Comp - It is the first step in applying for workers’. Web this form allows the health care providers you list below to release health care information about your previous injury/. Web please complete this form and send it to the workers' compensation board centralized mailing address listed at the end of these. `fill out this form to apply for workers' compensation benefits because. Web workers’ compensation board home.
It is the first step in applying for workers’. `fill out this form to apply for workers' compensation benefits because. Web workers’ compensation board home. Web please complete this form and send it to the workers' compensation board centralized mailing address listed at the end of these. Web this form allows the health care providers you list below to release health care information about your previous injury/.