Download SIF Forms

Home > Forms

Agent icon o
Agent
Claims kit icon
Claims Kit
Medical provider icon
Medical Provider
Return to work icon
Return to work
Website Access icon
Website Access
Policy Application

Apply for a workers' compensation policy with SIF.

First Report of Injury

This work offer should be used when the injured worker has continued to work in the same position as the time of injury.

Medical Release Form

The Medical Release Authorization Form allows SIF to access medical bills and reports to process your claim in a timely manner

Travel Expense Reimbursement

Request reimbursement for travel expenses regarding your claim.

Surgery and/or Diagnostics Testing Request Form

Medical providers, submit this form to request pre-approval for surgery or diagnostic testing. Not to be used for physical medicine requests.

Provider Hub Access Form

Register to view your bills and EOB's in our Provider Hub

EFT Form

Set up to receive your payments through EFT by filling out this form

Employer Supplemental Report

Submit this form at the end of the injured worker's disability or after 60 days if still unable to work.

Restricted Duty Supplement Report

Submit this form every 14 days while your injured worker is on restricted duty.

Example - Restricted Duty Work Offer Letter

This work offer should be used when the injured worker is off work and the employer is offering work.

Example - Work Offer, No Accommodation Required

This work offer should be used when the injured worker has continued to work in the same position as the time of injury.

Example - Restricted Duty With Accommodation

This work offer should be used when the injured worker has continued to work in their current position with accommodation.

Third-party Policyholder Website Authorization

Accountant or bookkeeping firms, submit this form to request access to your client's policy online. The insured must sign the form authorizing this request.

Agency Website Access

Agents appointed with SIF and have an active book of business, use this form to request web access to view your customer's policies and more.

Medical Provider Website Access

Medical providers, register to view your bills and EOBs on our website.

Agent icon o
Agent
Policy Application

Apply for a workers' compensation policy with SIF.

Claims kit icon
Claims Kit
First Report of Injury

This work offer should be used when the injured worker has continued to work in the same position as the time of injury.

Medical Release Form

The Medical Release Authorization Form allows SIF to access medical bills and reports to process your claim in a timely manner

Travel Expense Reimbursement

Request reimbursement for travel expenses regarding your claim.

Medical provider icon
Medical Provider
Surgery and/or Diagnostics Testing Request Form

Medical providers, submit this form to request pre-approval for surgery or diagnostic testing. Not to be used for physical medicine requests.

Provider Hub Access Form

Register to view your bills and EOB's in our Provider Hub

EFT Form

Set up to receive your payments through EFT by filling out this form

Return to work icon
Return to work
Employer Supplemental Report

Submit this form at the end of the injured worker's disability or after 60 days if still unable to work.

Restricted Duty Supplement Report

Submit this form every 14 days while your injured worker is on restricted duty.

Example - Restricted Duty Work Offer Letter

This work offer should be used when the injured worker is off work and the employer is offering work.

Example - Work Offer, No Accommodation Required

This work offer should be used when the injured worker has continued to work in the same position as the time of injury.

Example - Restricted Duty With Accommodation

This work offer should be used when the injured worker has continued to work in their current position with accommodation.

Website Access icon
Website Access
Third-party Policyholder Website Authorization

Accountant or bookkeeping firms, submit this form to request access to your client's policy online. The insured must sign the form authorizing this request.

Agency Website Access

Agents appointed with SIF and have an active book of business, use this form to request web access to view your customer's policies and more.

Medical Provider Website Access

Medical providers, register to view your bills and EOBs on our website.

Group_603[1]-1

How to use SIF Forms


Download and submit forms with the following steps:

  • Click on the PDF icon to open the form in a new browser tab.

  • Save the PDF to your computer. Once saved, navigate to the PDF on your computer, and open.

  • Complete the PDF on your computer, save, and close it.

  • Upload the completed form to the SIF website or return it via email.

  • Documents received after business hours are marked as received the next business day.

Ready to get started with SIF?