Workers Compensation - Workmans Comp Service Center

Popular Features

WorkCompResearch
CompBob! Joke of the Week
CompTalk! Radio
CompTalk! Video
Send A Get Well Card
Post Job/Resume
Recommend This Site

Get Our E- Newsletter

Fresh News, Hot Topics, CompTalk! Radio and Video and More.

Wisconsin Form Center

Welcome to the most extensive library of workers' compensation forms available anywhere. Almost 3,000 forms are available for your immediate download and use. Our forms, all of which have been custom programmed by WorkersCompensation.com for Type & Save functionality, are available for individual purchase below.

Try a Forms Membership! If you have an ongoing need for multiple forms, and want complete and unrestricted access to our entire 3,000 "Type & Save" Forms Library, you may register for immediate access here. Annual subscribers to this service get the benefit of our forms updating system, making sure the forms they use are the most current available.

= Indicates this Type & Save form is available for individual purchase.

= FlashFormSSL Enabled.
Click here to learn more about auto-populating forms with FlashForm SSL.

		(wkc3) Medical Treatment Statement -- For listing charges from medical providers, or for medicine and supplies. - 7/01
		Hearing Application -- To be filed by a party with the Department requesting resolution of a dispute. Please call (608) 266-1340 to order the following form.
		(wkc7b) Compromise Application - 7/01
		(wkc12e) Employer First Report of Injury or Disease - 2/09
		(wkc13) Supplementary Report on Accidents and Industrial Diseases -- Supplemental report to be filed by the insurer or self-insured employer when payments are started, stopped, suspended or changed. - 1/04
		(wkc13a) Wage Information Supplement -: 7/01
		(wkc16) Medical Report on Industrial Injury - 5/09
		(wkc16a) Physicians Report on Eye Injuries. - 3/09
		(wkc16b) Practitioners Report on Accident or Industrial Disease in Lieu of Testimony. - 7/01
		(wkc17) Subpoena - 7/01
		(wkc19) Admission to Service and Answer to Application - 10/06
		(wkc28) Labor and Industry Review Commission Petition for Review of Findings and Order of Administrative Law Judge -- To be used by a party to appeal administrative law judges order to the Labor and Industry Review Commission. - 7/01
		(wkc34) License Application - 7/01
		(wkc35) WC Hearing Appearance Permit Application - 10/09
		(wkc140) Supplemental Payments Reimbursement Request - 10/09
		(wkc170) Third Party Proceeds Agreement -- To be filed by the insurance carrier with the Department for approval of distribution. - 10/09
		(wkc176) Compromise Agreement -- To be filed by the parties with the Department for approval of compensation resolving a dispute. - 10/09
		(wkc177) Stipulation - 7/01
		(wkc6119) Social Security Reverse Offset Worksheet - 2/02
		(wkc6156) Social Security Information Request - 2/02
		(wkc6743) Vocational Expert Verified Report - 7/01
		(wkc7359-1e) Instructions and worksheet to calculate Temporary Partial Disability Payments. - 2/07
		(wkc7602) Corporate Officer Option Notice - 11/08
		(wkc9380) Necessity of Treatment Dispute Resolution Request Form - 4/04
		(wkc9488) Consent Form for Release of Medical Information - 12/03
		(wkc9488e) Voluntary and Informed Consent for Disclosure of Health Care Information - 4/09
		(wkc9488s) Consentimiento Voluntario e Informado para la Divulgación de Información de Atención Médica - 5/08
		(wkc9498) Reasonableness of Fee Dispute Resolution Request Form -- This form should be used ONLY for fee disputes related to treatment provided on or after July 1, 1992. - 4/04
		(wkc10042) Private Vocational Rehabilitation Specialist Certification Application - 10/06
		(wkc10146) Notification of Services - 7/01
		(wkc10369) Private Vocational Rehabilitation Services Quarterly Report - 9/01
		(wkc12698) Self-Restriction Statement - 6/07
		(wkc15119) Certification of Readiness for Hearing and Request to Schedule a Hearing or Settlement Conference - 1/09
		(wkc15242) Wisconsin Employee Leasing Company Client Report - 8/07
		(wkc15242e) Professional Employee Organization or Employee Leasing Organization Client Report - 5/06
		(wkc15243) Wisconsin Employee Leasing Company Client Termination Notice - 8/07
		(wkc15243e) Professional Employee Organization or Employee Leasing Organization Employee Leasing Agreement Termination Notice - 8/07
		(wkc15717) Certification of Readiness for Hearing and Request to Schedule a Hearing or Settlement Conference - 1/09
		(wkc15717e) Certification of Readiness - 8/07
		(wkc73591e) Temporary Partial Disability Worksheet - 2/07

Member Login

Wisconsin Form Center