In this case, fill out only the Certification of Contested Workers’ Compensation Claim (DS-221). 54:10A-2 and N.J.A.C. NJ Division of Workers’ Compensation -COURTS on line program Subscriber Application – Application #2 courts_online_app090512_i. This Cyber Safe NJ website, maintained by the Division of Consumer Affairs, provides useful tips to help consumers take an active role in protecting themselves and their information in the online world. Even out-of-state employers who hire employees in New Jersey or perform work in the state are required to buy coverage in NJ. One example is the Division's web site, which is the first place anyone should go to obtain the latest information about workers’ compensation in New Jersey. New Jersey requires that each corporation desiring to self-insure under the Workers' Compensation Law file its own … COVID-19 Response: Original Signature Requirement Relief – March 2020. COMPENSATION LIABILITY (As provided by N.J.S.A 34:15-77) An application filed by an applicant for self-insurance under the workers' compensation law does not cover any of its subsidiary corporations. Home; Telecommuter COVID-19 Employer and Employee FAQ; Telecommuter COVID-19 Employer and Employee FAQ. The Division of Risk Management serves all three branches (Judiciary, Executive and Legislative) of the New Jersey State government by: Investigating and adjusting claims made against the State or on behalf of the State, stemming from accidents or incidents involving property damage and bodily injury; While the Workers' Compensation Board does not normally accept a claimant's electronic signature on Board-prescribed forms, the original signature requirement has been relieved for the duration of the COVID-19 emergency for the forms specifically … Statute, Rules, and Guidance Forms Publications & Desk Aids Legislative Update Events & Training Injured Worker Survey Website Survey COVID-19 Resources. See Electronic Filing – XML … The minimum requirements for participation in this program are the following: … The site contains, among other things, the New Jersey workers' compensation statute and administrative regulations , key published opinions, legal research manual, interactive forms … Fax the completed form to 609-984-4138 Cyber Savvy Youth. 18:7-1.9(a) which treats the presence of employees working from their homes in New Jersey … PO Box 381 Trenton, New Jersey, 08625-0381 609-292-2515 NJ Division of Workers' Compensation Workers' compensation insurance is required by law for all Jersey employers. Welcome to the Division of Workers' Compensation. You must include the claim petition number, the Workers’ Compensation carrier name and address, and sign and date the agreement at the bottom of the form. Welcome to the NJ Division of Pensions & Benefits. The forms are also available in individual listings. Electronic Filing: Forms available for electronic filing are indicated by .See Electronic Filing - Online Forms for more information about filing your PDF form online. This is a complete listing of all Division of Workers' Compensation Forms. As our Federal and State governments continue to react to the COVID-19 pandemic in real-time with a primary focus on limiting travel, large gatherings and the movement of our citizens, many businesses are executing … Our goal is to ensure that anyone interested or involved in the Florida workers’ compensation system has the tools and resources they need to participate. Tele-Commuting and Corporate Nexus - As a result of COVID-19 causing people to work from home as a matter of public health, safety, and welfare, the Division will temporarily waive the impact of the legal threshold within N.J.S.A. Division of Workers' Compensation 633 17th Street, Suite 400 Denver, CO 80202 303-318-8700 1-888-390-7936 (Toll-Free) We assist injured workers, employers, health care providers, and insurers in following the Florida workers’ compensation … Here you can learn all about your Health Benefit and Pension Related information for Active Employees, Retirees, and Employers. Contact Us. Our mission is to provide quality benefits and services to meet the needs of our clients.