UNITED HEARTLAND - VARIOUS CLAIM FORMS

Incident Reporting - Best Practices

Gander Consulting - January 2010

For "Injury Reporting" or "Claims Access" go to:

United Heartland's Website

Worker's Compensation Department Coding

ACORD 130 Claim Form

Slip-Trip-Fall Investigation Form (Computer Version)

Slip-Trip-Fall Investigation Form (Handwritten Version)