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Simplifying the Work of Workers' Compensation



Hawaii Workers' Compensation Information

  • Home
  • States
  • Workers' Compensation Information


  • State Telephone Numbers
  • State Forms
  • State Rules & Statutes

Please Note: for Claims assistance or questions about coverage and exemptions You will need to call one of the numbers listed below.

Also be aware that the Workers' Compensation Assistance Offices in different states may go by different names such as "Industrial Accidents".
These are the only numbers that we are aware of and have available for Hawaii Workers' Compensation.


Hawaii Workers' Compensation Telephone Directory


Department of Labor - Oahu District Office: 808-586-9151

WC Facilitator Section - Oahu - Email Address: 808-586-9161

Workers' Comp Info: 808-586-9174

Temporary Disability - Plans Acceptance Branch: 808-586-9188

Vocational Rehabilitation: 808-586-9178

Department of Labor - Hawaii District Office: 808-974-6464

Department of Labor - West Hawaii District Mailing Address: 808-322-4808

Department of Labor - West Hawaii District Office (no mail received): 808-322-4808

Department of Labor Maui (Molokai, Lanai) District Office: 808-243-5322

Department of Labor - Kauai District Office: 808-274-3351

Investigation Section: 808-586-9200

Audit Section: 808-586-9239

Hearings Review Section: 808-586-9164

WC Insurance Section: 808-586-9183

WC Facilitators' Section - Hilo: 808-974-6464

WC Facilitators' Section - Kauai: 808-274-3351

WC Facilitators' Section - Kona: 808-322-4808

WC Facilitators' Section - Maui: 808-984-2702

Occupational Safety & Health Complaints: 808-586-9116

Insurance Fraud Investigation Branch: 808-587-7416

Self Insurance, TDI Special Fund: 808-586-9188

Occupational Safety & Health General Info: 808-586-9100

Occupational Safety & Health Accident Reporting Line: 808-586-9102

Occupational Safety & Health Complaints: 808-586-9092

Occupational Safety: 808-586-9110

Occupational Health: 808-586-9090

DLIR - Occupational Safety & Health -Telephone Number & Email Address: 808-586-9116

Department of Labor & Industrial Relations Appeal Board (DLIR): 805-586-8600

Insurance Division Commissioner Colin M. Hayashida: 808-586-2790

Rehabilitation: 808-586-9178

Medical Fee Schedule: 808-586-9161

DLIR WC Information: 808-586-9161

Complaints/Non-Coverage: 808-586-9200

DLIR Disability Compensation Division: 808-586-9219

Dept. of Labor & Industrial Relations Appeal Board (DLIR) Chair Damien A. Elefante: 808-586-8600

Dept. of Labor & Industrial Relations Appeal Board (DLIR) Member Melanie S. Matsui: 808-586-8600

Dept. of Labor & Industrial Relations Appeal Board (DLIR) Member Marie C. Laderta: 808-586-8600

Workforce Development: 808-586-8630

Professional Employer Organization (PEO) Program Contact: 808-586-9153

Worker's Compensation Data: 808-586-9014

WC Research & Statistics Office: 808-586-9001

DLIR - Occupational Safety & Health Consultation & Training: 808-586-9100

Division of Vocational Rehabilitation : 808-586-9744

Disability Compensation Division (DCD) Facilitator's Unit - Oahu: 808-586-9161

Disability Compensation Division (DCD) Facilitator's Unit - Hilo: 808-974-6464

Disability Compensation Division (DCD) Facilitator's Unit - Kauai: 808-274-3351

Disability Compensation Division (DCD) Facilitator's Unit - Kona: 808-322-4808

Disability Compensation Division (DCD) Facilitator's Unit - Maui: 808-984-2702

OSHA State Plan Office Covers Public (State) & Private Employment: 808-586-9100

OSHA Federal - Honolulu Ofc - Covers Federal/USPS/Private Maritime/Fed Juris Land: 808-541-2680

Department of Labor & Industrial Relations - Media Contact: 808-586-8845

Research & Statistics Main Line: 808-586-8999

Research & Statistics Work Injury/Illness Data: 808-586-9002

Research & Statistics Workers Compensation Data: 808-586-9014

Forms & Publications


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Some "Revision Dates" may be displayed as part of the Description.

(wc-1) Employer's Report of Industrial Injury 1/22
(wc-2) Physician's Report 10/05
(wc-3a) Carrier's Benefit Adjustment Report 1/22
(wc-3) Carrier's Case Report - Per DOL must be filed in duplicate on pink paper. 3/92
(wc-5) Employee's Claim for Workers' Compensation Benefits 10/05
(wc-5a) Dependent's Claim for Compensation 10/05
(wc-14) Employee's Wage Report 1/18
(wc-21) Application for Self-Insurance Authorization 10/05
(wc-42) Request for Information or Photo Copies 6/10
(wc-77) Application for Hearing 10/05
(wc-77a) Response to Application for Hearing 10/05
(Attorney-Fee-Request) Request for Approval of Attorney's Fee 2/21
(attyincrease) Request for Increase in Hourly Rate N/D
(lir27) Application for Certificate of Compliance with Section 3-122-112, HAR 10/05
(Special-Instructions) Special Instructions for Insurance Carriers, Adjusters and Self-Insured Employers to Complete and File Industrial Accident (WC-1), Physician (WC-2) and Carrier Case (WC-3) Reports Under the Hawaii Workers' Compensation Law 11/07
(peoapp) Application for Professional Employer Origanization Registration in the State of Hawaii 10/17
(peo2) Professional Employer Organization Bond Form 7/17
(peo3) PEO Client Companies List N/D
(peo4) PEO Amendment Form 5/16
(peo5) PEO Renewal/Restoration Application 7/17
(peo5a) PEO General Information & Instructions - Renewing Your PEO Application 7/17
(treatmentplan) Hawaii Workers Compensation Treatment Plan 5/21
  • Hawaii Rules
  • Hawaii Statutes

Chapter 10 Workers' Compensation


  • SUBCHAPTER 1 GENERAL PROVISIONS (12-10-1 through 12-10-10)

  • SUBCHAPTER 2 COMPENSATION (12-10-21 through 12-10-60)

  • SUBCHAPTER 3 ADMINISTRATION (12-10-61 through 12-10-90)

  • SUBCHAPTER 4 SECURITY FOR COMPENSATION (12-10-91 through 12-10-99)

  • SUBCHAPTER 5 MEDICAL STABILIZATION (12-10-100 through 12-10-104)
  • Chapter 11 Temporary Disability Insurance


  • SUBCHAPTER 1 GENERAL (12-11-1 through 12-11-10)

  • SUBCHAPTER 2 PLANS (12-11-11 through 12-11-34)

  • SUBCHAPTER 3 BENEFITS AND CLAIMS PROCEDURES (12-11-35 through 12-11-55)

  • SUBCHAPTER 4 REQUIREMENTS FOR INSURED COVERAGE (12-11-56 through 12-11-65)

  • SUBCHAPTER 5 REQUIREMENTS FOR SELF-INSURED COVERAGE (12-11-66 through 12-11-84)

  • SUBCHAPTER 6 REPORTS (12-11-85 through 12-11-86)
  • Chapter 12 Prepaid Health Care


  • SUBCHAPTER 1 GENERAL (12-12-1 through 12-12-10)

  • SUBCHAPTER 2 PLANS (12-12-11 through 12-12-23)

  • SUBCHAPTER 3 HEALTH CARE CONTRACTOR REQUIREMENTS (12-12-24 through 12-12-40)

  • SUBCHAPTER 4 BENEFITS AND CLAIMS PROCEDURE (12-12-41 through 12-12-59)

  • SUBCHAPTER 5 REPORTS (12-12-60 through 12-12-69)

  • SUBCHAPTER 6 PREMIUM SUPPLEMENTATION (12-12-70 through 12-12-75)

  • SUBCHAPTER 7 PENALTIES (12-12-76)
  • Chapter 14 Rehabilitation


  • SUBCHAPTER 1 GENERAL PROVISIONS (12-14-1 through 12-14-3)

  • SUBCHAPTER 2 REVIEW AND APPROVAL OF VOCATIONAL REHABILITATION PLANS (12-14-4 through 12-14-15)

  • SUBCHAPTER 3 CERTIFICATION OF PROVIDERS OF REHABILITATION SERVICES (12-14-16 through 12-14-22)

  • SUBCHAPTER 4 IDENTIFICATION AND REFERRAL PROCEDURES (12-14-23 through 12-14-25)

  • SUBCHAPTER 5 IMPLEMENTATION OF VOCATIONAL REHABILITATION PLANS (12-14-26 through 12-14-34)

  • SUBCHAPTER 6 ENROLLMENT IN REHABILITATION PROGRAMS (12-14-35 through 12-14-37)

  • SUBCHAPTER 7 TEMPORARY TOTAL DISABILITY PAYMENTS AND LIVING EXPENSES (12-14-38 through 12-14-45)

  • SUBCHAPTER 8 MEDICALLY NOT FEASIBLE (12-14-46 through 12-14-47)

  • SUBCHAPTER 9 APPEAL RIGHTS (12-14-48 through 12-14-51)

  • SUBCHAPTER 10 TRANSFER OF EMPLOYEE TO ANOTHER PROVIDER (12-14-52 through 12-14-54)

  • SUBCHAPTER 11 HIRE AND SEPARATION OF PROVIDER'S EMPLOYEES (12-14-55 through 12-14-57)

  • Appendix A
  • Chapter 15 Medical Fee Schedule Rules


  • SUBCHAPTER 1 GENERAL PROVISIONS (12-15-1 through 12-15-11)

  • SUBCHAPTER 2 - HEALTH CARE PROVIDERS (12-15-12 through 12-15-29)

  • SUBCHAPTER 3 - TREATMENT (12-15-30 through 12-15-79)

  • SUBCHAPTER 4 ADMINISTRATION (12-15-80 through 12-15-94)
  • Chapter 386 Workers' Compensation Law

    Part 1. General Provisions


  • 386-1 Definitions.

  • 386-2 Definitions relating to family relationships.

  • 386-3 Injuries covered.

  • 386-3.5 Negotiation for benefit coverage.

  • 386-4 Voluntary coverage.

  • 386-5 Exclusiveness of right to compensation; exception.

  • 386-6 Territorial applicability.

  • 386-7 Interstate and foreign commerce and maritime employment.

  • 386-8 Liability of third person.

  • 386-8.5 Limits of third party liability.

  • 386-9 Contracting out forbidden.

  • 386-10 Out of state employers.
  • Part 2. Compensation

    A. Medical and Rehabilitation Benefits


  • 386-21 Medical care, services, and supplies.

  • 386-21.1 Medical care, services, and supplies for controverted claims.

  • 386-21.2 Treatment plans.

  • 386-21.5 Publication of fees by prepaid health care plan contractors.

  • 386-21.7 Prescription drugs; pharmaceuticals.

  • 386-21.9 Medical care, services, and supplies for firefighters suffering from cancer.

  • 386-22 Artificial member and other aids.

  • 386-23 Services of attendant.

  • 386-23.5 Services of attendant, allowance adjustments.

  • 386-23.6 Weekly benefit adjustments for recipients of services of attendants.

  • 386-24 Medical rehabilitation.

  • 386-25 Vocational rehabilitation.

  • 386-26 Guidelines on frequency of treatment and reasonable utilization of health care and services.

  • 386-27 Qualification and duties of healthcare providers.

  • 386-28 Opioid therapy; qualifying injured employees; informed consent process.

  • 386-29 Qualifying injured employees; initial concurrent prescriptions; opioids and benzodiazepines.
  • B. Income and Indemnity Benefits

    1. Disability


  • 386-31 Total disability.

  • 386-32 Partial disability.

  • 386-33 Subsequent injuries that would increase disability.

  • 386-34 Payment after death.

  • 386-35 Benefit adjustment.
  • 2. Death


  • 386-41 Entitlement to and rate of compensation.

  • 386-42 Dependents.

  • 386-43 Duration of dependents' weekly benefits.

  • 386-44 Effect of erroneous payment; insanity of beneficiary.
  • 3. Provisions Common to Benefits for Disability and Death


  • 386-51 Computation of average weekly wages.

  • 386-51.5 Limited liability in concurrent employment.

  • 386-52 Credit for voluntary payments and supplies in kind.

  • 386-53 Nonweekly periodic payments.

  • 386-54 Commutation of periodic payments.

  • 386-55 Trustee in case of lump sum payments.

  • 386-56 Payment from the special compensation fund in case of default.

  • 386-57 Legal status of right to compensation and compensation payments.
  • Part 3. Administration


  • 386-71 Duties and powers of the director in general.

  • 386-71.5 Rehabilitation unit.

  • 386-71.6 Workers' compensation benefits facilitator unit.

  • 386-72 Rulemaking powers.

  • 386-73 Original jurisdiction over controversies.

  • 386-73.5 Proceedings to determine employment and coverage.

  • 386-78 Compromise.

  • 386-79 Medical examination by employer's physician.

  • 386-80 Examination by impartial physician.

  • 386-81 Notice of injury; waiver.

  • 386-82 Claim for compensation; limitation of time.

  • 386-83 When claim within specified time is unnecessary or waived.

  • 386-84 Limitation of time with respect to minors and mentally incompetent.

  • 386-85 Presumptions.

  • 386-86 Proceedings upon claim; hearings.

  • 386-87 Appeals to appellate board.

  • 386-87.1 Standing to intervene in appeals.

  • 386-88 Judicial review.

  • 386-89 Reopening of cases; continuing jurisdiction of director.

  • 386-90 Conforming prior decisions on appeal.

  • 386-91 Enforcement of decisions awarding compensation; judgment rendered thereon.

  • 386-92 Default in payments ofcompensation, penalty.

  • 386-93 Costs.

  • 386-94 Attorneys, physicians, other health care providers, and other fees.

  • 386-95 Reports of injuries, other reports, penalty.

  • 386-96 Reports of physicians, surgeons,and hospitals.

  • 386-97 Inspections.

  • 386-97.5 Penalties.

  • 386-98 Fraud violations and penalties.

  • 386-99 Posting of information.

  • 386-100 Deductible option for medical benefits in insurance policy.
  • Part 4 . Security For Compensation

    A. Security for Compensation


  • 386-121 Security for payment of compensation; misdemeanor.

  • 386-122 Notice of insurance.

  • 386-123 Failure to give security for compensation; penalty; injunction.

  • 386-124 The insurance contract.

  • 386-124.5 Insurer's requirements; failure to

  • 386-125 Knowledge of employer imputed to insurance carrier.

  • 386-126 Insolvency of employer not to release insurance carrier.

  • 386-127 Cancellation of insurance contracts.

  • 386-128 Insurance by the State, counties, and municipalities.

  • 386-129 Employees not to pay for insurance; penalty.
  • B. Employment Rights of Injured Employees


  • 386-142 Employment rights of injured employees.
  • C. Special Compensation Fund


  • 386-151 Special compensation fund established and maintained.

  • 386-152 Levy and charges to finance special compensation fund.

  • 386-153 Levy on insurers of employers insured under section 386-121(a)(1).

  • 386-154 Charge against employers not insured under section 386-121(a)(1).

  • 386-154.5 Special assessments.

  • 386-155 Expenses.
  • Part 5. Applicability To Hawaii Guard, Volunteer Personnel And Public Board Members

    A. Hawaii Guard


  • 386-161 Who entitled to compensation.

  • 386-162 Terms defined.

  • 386-163 Administration.

  • 386-164 Appropriation.
  • B. Volunteer Personnel


  • 386-171 Volunteer personnel, medical, etc., expenses.

  • 386-172 Administration and procedure.

  • 386-173 Time for giving notice, etc.

  • 386-174 Appropriation.
  • C. Public Board Members, Reserve Police Officers, Police Chaplains, Volunteer Firefighters, Volunteer Boating Enforcement Officers, and Volunteer Conservation and Resources Enforcement Officers


  • 386-181 Generally.
  • Part 6. Self-insurance Groups


  • 386-191 Scope.

  • 386-192 Definitions.

  • 386-193 Authority to act as workers' compensation self-insurance group.

  • 386-194 Qualifications for initial approval and continued authority to act as a workers' compensation self-insurance group.

  • 386-195 Certificate of approval; termination.

  • 386-196 Examinations.

  • 386-197 Board of trustees; membership, powers, duties, and prohibitions.

  • 386-198 Group membership; termination, liability.

  • 386-199 Service companies.

  • 386-200 Licensing of producer

  • 386-201 Financial statements and other reports.

  • 386-202 Misrepresentation prohibited.

  • 386-203 Investments.

  • 386-204 Rates and reporting of rates.

  • 386-205 Refunds.

  • 386-206 Premium payment; reserves.

  • 386-207 Deficits and insolvencies.

  • 386-208 Guaranty mechanism.

  • 386-209 Monetary penalties.

  • 386-210 Cease and desist orders.

  • 386-211 Revocation of certificate of approval.

  • 386-212 Notice and hearing.

  • 386-213 Rules.

  • 386-214 Severability.
  • Chapter 386A. Hawaii State Compensation Mutual Insurance Fund


  • 386A-1. Definitions.

  • 386A-2. Fund's establishment.

  • 386A-3. Fund's purpose.

  • 386A-4. Number, appointment, term.

  • 386A-5. Board meetings.

  • 386A-6. Limitation of liability of directors.

  • 386A-7. Liability and rights of parties and third persons.

  • 386A-8. Termination and merger.

  • 386A-9. Governing law.

  • 386A-10. Administrator's appointment and duties.

  • 386A-11. Exemptions.

  • 386A-12. State fund operational.

  • 386A-13. Insurance code applicable.
  • Chapter 431 Insurance Code


  • 431:9-222.5 Claims adjusters; limited license

  • 431:14A-101 Purpose.

  • 431:14A-102 Definitions.

  • 431:14A-103 Hawaii employers' mutual insurance company, established.

  • 431:14A-104 Company divisions.

  • 431:14A-105 Board of directors, established.

  • 431:14A-106 Powers; generally.

  • 431:14A-107 Duties and responsibilities.

  • 431:14A-108 Administrator; appointment; duties.

  • 431:14A-109 Financial management.

  • 431:14A-109.5 Oversight council.

  • 431:14A-110 Premium rates, determination.

  • 431:14A-111 Reserves, investment.

  • 431:14A-112 Financial statements and other reports.

  • 431:14A-113 Annual accounting; dividends.

  • 431:14A-114 Audits.

  • 431:14A-115 Denial, cancellation, and termination.

  • 431:14A-116 Willful misrepresentation and fraud.

  • 431:14A-117 Workplace safety and health programs.

  • 431:14A-118 Discontinuation of residual market plan.

  • 431:14A-119 Discontinuation of assigned risks.




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