Worker Compensation Forms

WKC-7 Hearing application. A Hearing Application form can be requested by email or by calling the Worker's Compensation office number and by providing a complete mailing address.

WKC-16-B Practitioner's Report on Accident or Industrial Disease in Lieu of Testimony.

WKC-3 Medical Treatment Statement:

  WKC-3-E (Electronic Version - Word/95 KB)

  WKC-3-E (Electronic Version - pdf/661 KB)

  WKC-3 (Print Version - pdf/169 KB)

WKC-28-DHA State of Wisconsin, Labor and Industry Review Commission, Petition for Review of Findings and Order of DHA Administrative Law Judge (DHA-OWCH).