SELF-INSURED

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Welcome Current & Prospective Clients!

Our priority for our clients it to ensure dependable service that is professional, efficient, appropriate, and personalized. RMS has developed the flexibility to work within the confines of the workers’ comp statute while professionally responding to the special service instructions of our self-insured clients. We have successfully demonstrated our ability to partner with our clients and their unique risk management programs. We have the industry resources to provide clients with insurance solutions, services, and positive results for their business and their employees.

Claims Forms

Employee Forms

Authorization for Release of Protected Health Information (HIPAA Compliant)
Employee Certificate of Compliance
Employee Certificate of Compliance - Spanish
Employee Choice of Physician
Employee Mileage Form
Employee Monthly Report of Earnings
Employee Monthly Report of Earnings - Spanish

Other Forms

Employer Certificate of Compliance
Louisiana Workforce Commission Brochure
Post-Hire/Conditional Job Offer Knowledge Questionnaire
Post-Hire/Conditional Job Offer Knowledge Questionnaire - Spanish

Safety Handouts

OSHA

OHSA Website - Link OSHA Recordkeeping - Link Employee’s Right to Report - Link Hazard Communication Safety Data Sheets (SDS) Quick Card
Hazard Communication Standard Labels Quick Card - English & Spanish
Improve Tracking of Workplace Injuries & Illnesses
Job Safety Poster - English
Job Safety Poster - Spanish