Worker's Compensation
 

WCS E-MAIL
 ENROLLMENT REQUEST
 

The e-mail enrollment form below allows you to sign up for e-mail notification of the latest quarterly newsletter releases, upcoming training, and regulation changes, along with regulation hearings and workshops you can attend.

In addition, you may use this form to change your current contact information or be removed from our e-mail database.  Please fill it in as completely as possible - especially important is your telephone area code that facilitates e-mail grouping and regional distribution.  (You will not be called.)

NEW SUBSCRIBER     UPDATE     REMOVAL REQUEST

 

PLEASE TYPE OR PRINT CLEARLY

Business Name:
Contact Name (First & Last): 
Business Address:  
City, State, Zip:
E-Mail Address:
Telephone Number: 

Phone number must be entered as 999-999-9999

PICK  THE ONE CATEGORY FROM THE DROP DOWN BOX, WHICH BEST DESCRIBES YOUR NEEDS

       
       

Please fill out the form on the WCS WEBSITE or
E-mail, Mail or Fax this completed form to:

                                  Worker's Compensation Section (WCS)

Attn:  Michael Brooks                                                            Fax: (702) 990-0364
1310 N. Green Valley Parkway, Suite 200                             E-mail: mailto:mbrooks@business.nv.gov
Henderson, Nevada  89074                                                    http://www.dirweb.state.nv.us/WCS/wcs.htm