Download SIF Forms

Agricultural businesses should include this Supplemental along with the Policy Application. Email completed applications to your Underwriter or policyapplications@idahosif.org.

Construction Supplemental Application

Construction businesses should include this Supplemental along with the Policy Application. Email completed applications to your Underwriter, or policyapplications@idahosif.org.

Trucking Supplemental Application

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.

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.

Agricultural Supplemental Application

Agricultural businesses should include this Supplemental along with the Policy Application. Email completed applications to your Underwriter or policyapplications@idahosif.org.

Construction Supplemental Application

Construction businesses should include this Supplemental along with the Policy Application. Email completed applications to your Underwriter, or policyapplications@idahosif.org.

Trucking Supplemental Application

Trucking businesses should include this Supplemental along with the Policy Application. Email completed applications to your Underwriter or policyapplications@idahosif.org.

Claims Kit

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.

Medical Provider

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.

Return to Work

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.

Website Access

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.

Mistakes happen, if you spot or realize an error, please contact us and we will work with you to sort things out.
Please be aware that any person who knowingly, and with intent to defraud or deceive any insurance company,
submits a statement or claim containing any false, incomplete, or misleading information is guilty of a felony.

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How to use SIF Forms

To download and submit a form: