Workers' Compensation

Instructions for Filing a Claim

  1. Approved Workers Compensation Medical Facilities List (PDF)
  2. Procedures for Reporting an Employee Injury or Illness (PDF)

Required Forms

  1. Workers' Compensation Integration Form (PDF)
  2. DWC-1 Sample Form (PDF)
  3. DWC-1 Fillable Form (PDF)
  4. Acknowledgement of Receipt of DWC-1 Form (PDF)
  5. Injury and Illness Investigation Report (PDF)

Resources