The forms listed below are those commonly used in the Medical Regulation Unit functions of the workers' compensation system.
Medical Status Form
Independent Medical Review Form (pdf)
SIF Application (pdf)
SIF Release Form (pdf)
Call: (406) 444-6543Fax: (406) 444-4140TDD: (406) 444-9696
P.O. Box 8011Helena, MT 59604-8011
©2014 Montana Department of Labor and Industry