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 62 State Forms found

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EMPLOYER’S FIRST REPORT OF INJURY OR DISEASE

 WKC-12 (R. 09/2024)

MEDICAL REPORT ON INDUSTRIAL INJURY

 WKC-16 (R. 09/2024)

MEDICAL TREATMENT STATEMENT

 WKC-3-E (R. 09/2024)

ADMISSION TO SERVICE AND ANSWER TO APPLICATION

 WKC-19-DHA-E (R. 10/2023)

Certification of Readiness for Hearing and Request to Schedule a Hearing or Settlement Conference

 WKC-15717-E (R. 10/2023)

COMPROMISE AGREEMENT

 WKC-176 (R. 09/2024)

COMPROMISE REVIEW APPLICATION

 WKC-7-B-E (R. 09/2024)

Corporate Officer Option

 WKC-7602-E (R. 09/2024)

CORPORATE OFFICERS AND WORKER’S COMPENSATION IN WISCONSIN

 WKC-13441-P (R. 09/2017)

HEARING APPLICATION

 WKC-7-E (R. 01/2025)

Employee Leasing Company Notification of a client covered under a master policy for small clients under s. 102.315(5)(b), Wis. Stats.

 WKC-15784-E (R. 09/2024)

Employer Notice of Divided-Workforce under s. 102.315(6)(b), Wis. Stats.

 WKC-15783-E (R. 09/2024)

Joint Certification Of Readiness

 WKC-15119-E (R. 10/2023)

License Application

 WKC-34 (R. 01/2023)

NECESSITY OF TREATMENT DISPUTE RESOLUTION REQUEST

 WKC-9380-E (R. 09/2024)
Disclaimer: These forms may not be the most recent version. Wisconsin may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on this site. Please check official sources.
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