The Court shall prepare and adopt such forms for use in matters before the Court as it may deem necessary or advisable. Whenever Court forms are prescribed and are applicable, they shall be used. Printed copies of all forms may be procured in reasonable quantities upon request to the Clerk of the Court, or may be downloaded from the Court's web site at

www.owcc.state.ok.us.

The following forms have been adopted by the Court:

Form 1A: Notice and Instructions to Employers and Employees.

Form 1B: Employer's Application for Permission to Carry Its Own Risk Without Insurance.

Form 1X: Compromise Settlement.

Form 2: Employer's First Notice of Injury.

Form 3: Employee's First Notice of Accidental Injury and Claim for Compensation.

Form 3A: Claimant's First Notice of Death and Claim for Compensation.

Form 3B: Employee's First Notice of Occupational Disease and Claim for Compensation.

Form 3E: Employee's Claim for Benefits for Combined Disabilities Against the Last Employer.

Form 3F: Employee's Claim for Benefits from the Multiple Injury Trust Fund.

Form 4: Treating Physician's Report and Notice of Treatment.

Form 4A: Treating Physician's Progress Report.

Form 5: Physician's Report on Release and Restrictions.

Form 7: Designation of a Service Agent.

Form 9: Motion to Set for Trial.

Form 10: Answer and Pretrial Stipulation Offered by Respondent.

Form 10A: Respondent's Response to Claimant's Form A Application for Change of Physician

Form 10M: Response to Request for Payment of Charges for Health or Rehabilitation Services.

Form 13: Request for Prehearing Conference.

Form 14: Agreement between Employer and Employee as to Fact with Relation to an Injury and Payment of Compensation. (For injuries occurring before July 1, 2005.)

Form 17: Disclosure Statement.

Form 18: Request for Administrative Review of Medical Charges.

Form 19: Part I. Request for Payment of Charges for Health or Rehabilitation Services.

Part II. Notice of Appeal of Administrative Order.

Form 20: Proof of Loss in Death Claim.

Form 26: Memorandum of Agreement as to Fact with Relation to an Injury and Payment of Disability Compensation. (For injuries occurring after June 30, 2005.)

Form 93: Application and Order For Leave to Withdraw as Attorney of Record.

Form 99: Pauper's Affidavit.

Form 100: Application and Order for Dismissal.

Form 463: Application for Physicians Seeking Appointment as an Independent Medical Examiner.

Form 626: Application for Medical Case Manager.

Form 862: Application for Vocational Rehabilitation Evaluator.

Form A: Claimant's Application for Change of Physician and Request for Hearing.

Appointment of Independent Physician or Rehabilitation Evaluator.

Joint Petition.

Adopted by order of the Supreme Court, 1997 OK 130, eff. November 1, 1997; Amended by order of the Supreme Court, 2000 OK 13, eff. April 15, 2000; Amended by order of the Supreme Court, 2001 OK 46, eff. July 1, 2001; Renumbered from former Rule 11 and amended by order of the Supreme Court, 2006 OK 6, eff. January 1, 2006 (superseded document available).