Policy Application
Apply for a workers' compensation policy with SIF. Please download the form, as it may not display or function as intended in the web view.
Agricultural Supplemental Questionnaire
Agricultural businesses should include this Supplemental along with the Policy Application. Email completed applications to your Underwriter or policyapplications@idahosif.org.
Contractor Supplemental Questionnaire
Contractors should include this Supplemental along with the Policy Application. Email completed applications to your Underwriter, or policyapplications@idahosif.org.
Trucking Supplemental Questionnaire
Trucking businesses should include this Supplemental along with the Policy Application. Email completed applications to your Underwriter or policyapplications@idahosif.org.
First Report of Injury
Use this form to report a workplace injury or illness.
Workers' Comp Posting Notice (English)
This poster should be placed in a noticeable area in the workplace.
Workers' Comp Posting Notice (Spanish)
This poster should be placed in a noticeable area in the workplace.
Medical Release Authorization
This form allows SIF to access medical bills and reports to process claims quickly
Reimbursement for Health Care Travel Expenses Form
Request reimbursement for travel expenses related to your claim
Thirteen Week Wage Form
Use this form to provide wage information for an injured worker who has worked more than 12 weeks prior to the date of injury. Use the Injury Date drop down at the top of the form to prefill the dates below.
Similar Employee Wage Form
Use this form to provide wage information for an injured worker who has worked less than 12 weeks prior to the date of injury. Use the Injury Date drop down at the top of the form to prefill the dates below.
Supervisor's Accident Report (SAR)
Use this form for internal accident reporting tracking purposes only. This is not a claim form.
Surgery, Diagnostic or Ancillary Service Request
Medical providers may use this form to request pre-approval for surgery, diagnostic, or ancillary testing. This form is not for physical medicine requests.
Provider Portal Access Form
Register to view your bills and EOB's in our Provider Portal.
Employer's 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 Supplemental Report
Submit this form every 14 days while your injured worker is on restricted duty. Use the Injury Date drop down at the top of the form to prefill the dates below.
Example - Restricted Duty Work Offer Letter
Use this form when the employer is offering work to an injured worker
Example - Work Offer, No Accommodation Required
Use this form when the injured worker has continued to work in the same position as the time of injury
Example - Restricted Duty With Accommodation
Use this form when the injured worker works in their current position with accommodation
Work Status Report
This form helps address work restrictions at the medical appointment. Use this to help accommodate more immediate light- or modified duty. Give this to an injured worker before they go to the clinic.
Third-party Policyholder Website Authorization
This form is for accountant or bookkeeping firms to request access to their client's policy online. The insured must sign to authorize the request.
Agency Website Access
Appointed agents with an active book of business may use this form to request portal access. Our portal shows an agency's policies and more.
Medical Provider Website Access
Medical providers may use this form to register on our secure portal. We provide access to view bills and EOBs, and to submit surgery requests.
Policy Application
Apply for a workers' compensation policy with SIF. Please download the form, as it may not display or function as intended in the web view.
Agricultural Supplemental Questionnaire
Agricultural businesses should include this Supplemental along with the Policy Application. Email completed applications to your Underwriter or policyapplications@idahosif.org.
Contractor Supplemental Questionnaire
Contractors should include this Supplemental along with the Policy Application. Email completed applications to your Underwriter, or policyapplications@idahosif.org.
Trucking Supplemental Questionnaire
Trucking businesses should include this Supplemental along with the Policy Application. Email completed applications to your Underwriter or policyapplications@idahosif.org.
First Report of Injury
Use this form to report a workplace injury or illness.
Workers' Comp Posting Notice (English)
This poster should be placed in a noticeable area in the workplace.
Workers' Comp Posting Notice (Spanish)
This poster should be placed in a noticeable area in the workplace.
Medical Release Authorization
This form allows SIF to access medical bills and reports to process claims quickly
Reimbursement for Health Care Travel Expenses Form
Request reimbursement for travel expenses related to your claim
Thirteen Week Wage Form
Use this form to provide wage information for an injured worker who has worked more than 12 weeks prior to the date of injury. Use the Injury Date drop down at the top of the form to prefill the dates below.
Similar Employee Wage Form
Use this form to provide wage information for an injured worker who has worked less than 12 weeks prior to the date of injury. Use the Injury Date drop down at the top of the form to prefill the dates below.
Supervisor's Accident Report (SAR)
Use this form for internal accident reporting tracking purposes only. This is not a claim form.
Surgery, Diagnostic or Ancillary Service Request
Medical providers may use this form to request pre-approval for surgery, diagnostic, or ancillary testing. This form is not for physical medicine requests.
Provider Portal Access Form
Register to view your bills and EOB's in our Provider Portal.
Employer's 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 Supplemental Report
Submit this form every 14 days while your injured worker is on restricted duty. Use the Injury Date drop down at the top of the form to prefill the dates below.
Example - Restricted Duty Work Offer Letter
Use this form when the employer is offering work to an injured worker
Example - Work Offer, No Accommodation Required
Use this form when the injured worker has continued to work in the same position as the time of injury
Example - Restricted Duty With Accommodation
Use this form when the injured worker works in their current position with accommodation
Work Status Report
This form helps address work restrictions at the medical appointment. Use this to help accommodate more immediate light- or modified duty. Give this to an injured worker before they go to the clinic.
Third-party Policyholder Website Authorization
This form is for accountant or bookkeeping firms to request access to their client's policy online. The insured must sign to authorize the request.
Agency Website Access
Appointed agents with an active book of business may use this form to request portal access. Our portal shows an agency's policies and more.
Medical Provider Website Access
Medical providers may use this form to register on our secure portal. We provide access to view bills and EOBs, and to submit surgery requests.
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