When a state changes a workers’ compensation form or filing process, check the agency responsible for the claim, confirm the current form and instructions, and note the effective date, transition deadline, and required filing channel. Replace saved templates only after verifying the specific state’s rules: forms and cutoff dates are not uniform nationwide.
Start with the state and claim—not a saved form
First identify which state’s workers’ compensation process governs the claim and who must file or receive the document. An employer’s headquarters alone does not establish which state’s process applies. Confirm the jurisdiction for the particular claim, then use the responsible state agency’s official forms page.
State agencies maintain their own catalogs and instructions. For example, Texas organizes forms by categories that include employer, carrier, employee, and medical forms; New York’s listings identify form owners, filing destinations, and current-version details. Search the official page by the form number and title, not just by a generic description.
Connecticut’s Workers’ Compensation Commission tells system participants to use its official forms to ensure they are up to date, accurate, and meet statutory requirements. Idaho, meanwhile, cautions that its policy statements and guidance do not have the force and effect of law. Read agency guidance alongside the form-specific instructions and any controlling requirement.
#1 Best Overall
- Read Before You Buy — No Video Output: These adapters support charging and USB 2.0 data transfer, but cannot transmit video signals. Except for standard USB webcams (which use USB data only), they are not compatible with HDMI/DisplayPort cables, video-capable USB-C hubs, or docking stations with video output.
- Convert USB-A Ports to USB-C: Designed to connect USB-C earphones, cables, flash drives, card readers, and other USB-C accessories to standard USB-A ports. Plug-and-play with no drivers or software required.
- Aluminum Alloy Housing: Built with a sturdy aluminum alloy shell that aids in heat dissipation and protects against daily wear and scratches. Designed to maintain a stable and secure connection.
- Compact & Travel-Friendly: The ultra-compact design allows the adapter to stay plugged into your device without blocking adjacent ports or adding bulk, reducing wear and tear on your original USB ports.
- 12-Month Warranty: Backed by a 12-month manufacturer warranty for peace of mind. Designed to meet strict quality control standards for reliable everyday performance.
Check version dates and transition rules
Record four dates separately: when a revision takes effect, when the new version becomes required, the last date the prior version is accepted, and any deadline for filing the completed form. An update’s publication or effective date does not necessarily mean that every older copy becomes unusable immediately.
Maine illustrates the distinction: its forms index says revised forms were effective June 1, 2026, and required as of September 1, 2026. Those dates describe Maine’s transition, not a general workers’ compensation schedule.
Rank #2
- 5-in-1 USB-C Hub: Experience comprehensive connectivity featuring a Power Delivery input, two USB-A 2.0 ports, a USB-A 3.0 port, and an HDMI port. (Note: The USB-C power delivery input port is only for connecting an external wall charger to power your laptop and cannot power peripheral devices.)
- 90W Pass-Through Charging: Achieve optimal charging with 90W pass-through power to your laptop, supported by a total input of 100W, with the hub reserving 10W for operational efficiency. (Note: Wall charger not included.)
- Quick Data Transfers: Accelerate your productivity with rapid data transfers using a high-speed 5Gbps USB 3.0 port and two 480Mbps USB 2.0 ports.
- 4K HDMI Display: Enhance your visual experience with a hub capable of delivering 4K resolution at 30Hz in both mirror and extend modes. Please note that this hub is compatible with MacBook (macOS 12 and newer), Windows 10 and 11, ChromeOS, and laptops equipped with DP Alt Mode and Power Delivery. Note: This device is not compatible with Linux.
- What You Get: Anker USB-C Hub (5-in-1, 4K HDMI), welcome guide, 18-month warranty, and our friendly customer service.
Do not assume an older version will be accepted. New York says the Workers’ Compensation Board may announce that older versions of updated forms will not be accepted. Georgia’s forms page stated that outdated forms would be returned beginning October 1, 2025. Check the current policy for the exact form and state before sending it.
Confirm how the form must be filed
A revised form can come with a revised submission method. Check the agency’s instructions for the portal or eForm, paper-mail rules, recipient copies, and any separate electronic transaction needed to update the claim record.
Recommended Free Tools
Rank #3
- Sleek 7-in-1 USB-C Hub: Features an HDMI port, two USB-A 3.0 ports, and a USB-C data port, each providing 5Gbps transfer speeds. It also includes a USB-C PD input port for charging up to 100W and dual SD and TF card slots, all in a compact design.
- Flawless 4K@60Hz Video with HDMI: Delivers exceptional clarity and smoothness with its 4K@60Hz HDMI port, making it ideal for high-definition presentations and entertainment. (Note: Only the HDMI port supports video projection; the USB-C port is for data transfer only.)
- Double Up on Efficiency: The two USB-A 3.0 ports and a USB-C port support a fast 5Gbps data rate, significantly boosting your transfer speeds and improving productivity.
- Fast and Reliable 85W Charging: Offers high-capacity, speedy charging for laptops up to 85W, so you spend less time tethered to an outlet and more time being productive.
- What You Get: Anker USB-C Hub (7-in-1), welcome guide, 18-month warranty, and our friendly customer service.
New York: RFA-2 eForm
In an April 9, 2026 payer update, New York said use of the RFA-2 eForm became mandatory effective April 8, 2026. Paper forms postmarked after April 7 would not be accepted or acted on. This rule concerns the RFA-2 process described in that update; it should not be generalized to other forms.
Pennsylvania: document delivery and EDI
Pennsylvania’s LIBC-764 instructions say to mail the notice to the employee and upload it to WCAIS or mail it to the Bureau. They also state that an EDI transaction is needed to update claim status in WCAIS. Uploading or mailing the document should not be treated as a substitute for that separate status transaction. The PDF carries an April 2023 revision date, so verify that the form and instructions remain current before use.
Rank #4
- Dual Converters, Infinite Potential：Includes 2× USB C male to USB A female adapters and 2× USB A male to USB C female adapters. Perfect for a wide range of uses—tablets with Bluetooth keyboards, expand USB ports on macbook, and more. Two different converters for all your daily needs
- Next-Level 10Gbps & 3A Charging: No more slow 480Mbps, this usb to usb c adapter has a transfer speed of up to 10Gbps, allowing you to do more transferring in less time. This usb adapter fits both USB A and USB C charger, supporting up to 3A fast charging
- Upgraded Exquisite Craftsmanship: With an aluminum alloy housing and metal connector, the usbc to usb adapter is extremely durable and sturdy. Rigorously tested to withstand more than 10,000 times of plugging and unplugging, ensuring long-lasting performance
- Broad Compatible: The usb c to usb adapter widely supports all USB C/ USB A devices like laptops, tablets, cellphones, car chargers, and phone chargers. Such as compatible with MacBook Pro/Air 2023/2022, Thunderbolt 4/3 Devices,Apple MagSafe Watch 9/8/7/SE/Ultra, iPad Pro 2022/2021, Samsung Galaxy S23/S20/S10, and iPhone 17/16/15 Pro. Plug and play
- Please Note: To reach 10Gbps speed, keep the cable under 3.3 ft. For USB A Male to USB C adapters, try flipping the USB C connector. USB C Male to USB A adapters support bidirectional 10Gbps transfer within 3.3 ft
Oregon: revised Form 3058
Oregon Bulletin 232, revised April 8, 2026, republishes Form 3058 after wording changes related to House Bill 4040. The bulletin encourages immediate use and directs use no later than June 1, 2026. Follow the bulletin’s stated requirements for that form rather than assuming the timing applies elsewhere.
Use a repeatable update workflow
- Identify the governing state and filer. Confirm which jurisdiction’s claim process applies and whether the employer, carrier, employee, self-insured entity, or another participant must act.
- Open the state agency’s official forms page. Find the form by number and title. Check its revision date, instructions, filing destination, and any linked bulletin or update notice.
- Write down the transition dates. Distinguish effective date, required-use date, old-form cutoff, and the claim’s filing deadline. If an old version is accepted only during a transition, record the precise cutoff.
- Verify the full submission path. Check whether the agency requires an eForm, portal upload, paper mailing, recipient copies, or an accompanying EDI transaction. Confirm the correct destination for each copy.
- Update internal processes. Replace saved templates and checklists, tell staff or vendors responsible for filing, and retire superseded copies so they are not selected accidentally. This is a practical control; the particular agency notice determines the legal filing requirement.
- Keep the notice with the process record. Save the official update or bulletin alongside the revised template and instructions. If directions are unclear, contact the relevant agency or the carrier or claims administrator before filing.
Compare alternatives before submitting
If a state offers more than one form version or filing route, use this checklist to compare the options:
Windows Errors? Fix Them Before They Spread
Repair common Windows errors and clear accumulated junk for a smoother, more stable PC - no reinstall needed.Free scan · no reinstallCrashes, No Sound, or Screen Glitches?
Random freezes, missing sound and display glitches usually trace back to one bad driver. Find and replace yours safely.Free scan · under a minuteBest Value
- 5-in-1 Connectivity: Equipped with a 4K HDMI port, a 5 Gbps USB-C data port, two 5 Gbps USB-A ports, and a USB C 100W PD-IN port. Note: The USB C 100W PD-IN port supports only charging and does not support data transfer devices such as headphones or speakers.
- Powerful Pass-Through Charging: Supports up to 85W pass-through charging so you can power up your laptop while you use the hub. Note: Pass-through charging requires a charger (not included). Note: To achieve full power for iPad, we recommend using a 45W wall charger.
- Transfer Files in Seconds: Move files to and from your laptop at speeds of up to 5 Gbps via the USB-C and USB-A data ports. Note: The USB C 5Gbps Data port does not support video output.
- HD Display: Connect to the HDMI port to stream or mirror content to an external monitor in resolutions of up to 4K@30Hz. Note: The USB-C ports do not support video output.
- What You Get: Anker 332 USB-C Hub (5-in-1), welcome guide, our worry-free 18-month warranty, and friendly customer service.
- Which form version is current for this claim and filing date?
- When does the revision take effect, and when is it mandatory?
- Can the prior version still be used during a transition, and what is its final acceptable date?
- Must the filing go through a portal or eForm, or is paper still accepted?
- Who must receive a copy, and where must each copy go?
- Is a separate EDI transaction required to update claim status?
- Does the form or route depend on whether the filer is an employer, carrier, employee, or self-insured entity?
Use the current instructions for the specific form and claim. A process described for one state, form, or participant does not establish the rule for another.
Quick Recap
Product prices and availability are accurate as of the date/time indicated and are subject to change. Any price and availability information displayed on Amazon at the time of purchase will apply.
