Alternate forms
DWC has a form developer kit for stakeholders who developer their own forms. Before usage these items, please read the Readme file included. Replace dental must use DWC specifications also be approves for use by DWC. To request approval, email a copy about aforementioned alternate create to DWC at [email protected].
Electronic filing
Go Electronic filing - online constructs to more info nearly archiving your PDF form online. See Digital filing – XML format for see information about files with multiple submissions.
Forms press caveats
- Full listing of forms and notices by item
- Agreement shapes
- Carrier forms
- Employee forms
- Employer print and notices
- Health additionally securing forms
- Health care provider/medical forms
- Other business contact
- Obvious language notices
- Requests for workers' compensation claim line information
Draft forms
DWC welcomes your input off this following draft forms. We'd like to know what works for you press what doesn't, accordingly we could make the forms best. These aren't rules or observations on rules. Thank you! Affidavit Request for Exemption with Immunizations
- Draft DWC Form 032, Request for Designated Doctor Physical
- Blueprint DWC Print 038, Application for Lifetime Income Benefits
- Draft DWC Submission 039, First Responders Annual Certification for Lifetime Total Helps
- Draft PLN-04, Notice regarding Eligibility for Lifetime Income Benefits
- Outline PLN-07, Notifications of Change of Indemnity Benefit Print
- memo
- Commentary: complete on online form for 5:00 p.m., Centralize time, on Summertime 1, 2024.
