Workers Compensation Claim Paperwork

If you are injured or become ill, either physically or mentally, because of your job, you may be entitled to workers' compensation benefits. The forms below can be used to file a workers' compensation claim.​

 

​​​​​​​DWC-1      Accident Form

​​​​​​​DWC-7     Fact Sheet

 

Send DWC1 Form and Accident Forms to BJ Cain​ in Risk Management.