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Workers' Compensation in South Dakota

Forms and Resources

The following forms and resources are provided in Adobe .pdf format unless otherwise noted.

First Report of Injury (online reporting system; requires log-in)

Loss Cost Multipliers

Policy Filing Fee Voucher

Schedule Rating Worksheet (See Bulletin 10-04.)

South Dakota Medical Data Report 2013

State Instructions for Assigned Risk Plan

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For specific information on a program, division or council, click on one of the following links: