Navajo Nation Workers Compensation Program
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Services
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General Information
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Employment
Forms
Forms
Form
Form Designation
Medical Waiver Statement Form
(205 KB)
Employee
Report of Injury
(190 KB)
Supervisor/Employee
Traditional Healing Services Form
(203 KB)
Employee/Traditional Healer
Travel Expense Report
(55.0 KB)
Employee
IHS: Authorization for Disclosure of Medical Information:
www.ihs.gov/CIO/PUF/
Employee
SERVICE
Responsibilities
Claims Processing Flowchart
FORMS
Consent Form
Medical Waiver Statement Form
Report of Injury
Traditional Healing Services Form
Travel Expense Report
INFORAMTION LINKS
Employee Assistance Program
Employee Benefits Program
Insurance Service Department
Risk Management Program
Safety Loss/Control Program
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