StateForm

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Overview

The StateForm action generates state-mandated workers' compensation forms required by jurisdiction-specific regulatory agencies. These forms document claim status, benefits, payments, denials, settlements, and other statutory reporting requirements throughout the claim lifecycle.

When executed, the StateForm action:

  1. Identifies the claim's jurisdiction (state) from the record specified by domainName and domainKey
  2. Retrieves the appropriate state form template based on the stateFormTypeId parameter
  3. Populates the form with claim data (claimant info, employer info, injury details, payment data, etc.)
  4. Generates the completed form as a document (typically PDF)
  5. Attaches the PDF to the claim record

Relationship to Other ActionTypes

ActionTypePurposeFormat
FirstReportInitial FROI submission to state WC agencyEDI transaction
StateFormOngoing state-mandated form generationPDF document
ReportGeneral internal/external reportsPDF, Excel, etc.

State Form Types

State forms vary by jurisdiction but commonly include:

Form CategoryExamples
Benefit NoticesNotice of Compensation Payable, Benefit Rate Notice
Denial FormsNotice of Denial, Controversy Notice
Payment ReportsPayment Summary, Wage Statement
Settlement FormsSettlement Agreement, Compromise & Release
Status FormsReturn to Work Notice, Claim Closure Notice
Medical FormsAuthorization for Treatment, Medical Report Request

Jurisdiction-Specific Behavior

Each state has unique form requirements. The StateForm action automatically:

  • Selects the correct form template for the claim's jurisdiction
  • Applies state-specific formatting and field requirements
  • Includes required statutory language and disclosures
  • Generates forms compliant with state agency specifications

Common Use Cases

  • Generate Notice of Compensation Payable when benefits are approved
  • Produce denial notices when claims are controverted
  • Create settlement agreements for claim resolution
  • Generate required correspondence using jurisdiction-specific templates
  • Produce payment summaries for regulatory compliance
  • Generate return-to-work documentation
Path Params
string
required
Defaults to Claim

StateForm is restricted to workers' compensation claims that have:

  • A jurisdiction (state) assignment
  • Required claim data fields populated
  • State form templates configured for that jurisdiction
integer
required

This is the Origami ID of the Claim.

Body Params
parameters
object
required
Response

Language
Credentials
Header
URL
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Response
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