What forms can I send electronically?
Access Electronic Form Submission via GovQA
The Workers' Compensation Commission (WCC) accepts the submission of certain forms and documents electronically through our enhanced GovQA System. Listed below are the forms and documents WCC will accept through GovQA:
The following claim forms and documents will be accepted as attachments:
- 30C: Notice of Claim for Compensation
- 30D: Dependent's Notice of Claim for Compensation
- 36: Notice of Intention to Reduce or Discontinue Payments
- 43: Notice to Administrative Law Judge and Employee of Intention to Contest Employee's Right to Compensation Benefits
- 44: Order to Second Injury Fund in Cases of Concurrent Employment
- Brief or Proposed Finding
- Hearing Request
- Hearing CANCELLATION Request
- Lien Notice
- Medical Documentation (in conjunction with a Commission Medical Exam as ordered by WCC)
- Notice of Appearance
- Petition for Review
- Motions
- Stipulation (for Review only - original copies must be brought to hearing)
The following administrative forms and documents will be accepted as attachments:
- 6B: Coverage Election by Employee who is an Officer of a Corporation or a Manager of an LLC
- 6B-1: Coverage Election by Employees who are Members of a Partnership
- 75: Coverage Election by Sole Proprietor
- Claim Filing Location Form/ Notice to Employees
- Medical Care Plan Application for Employer
- Self-Insurance Application
- WCR-1: Rehabilitation Request
Additionally, the following administrative forms may be filled out and submitted directly online:
- Contact Information Change Form (Parties may use this form to make changes to their contact information or add an email address to receive hearing notices electronically)
- Hearing Questionnaire (You must have received a survey number from WCC in order to complete this questionnaire)
Please note that parties submitting these documents to WCC electronically must continue to send physical copies to the other parties to a claim, by certified mail or hand-delivery, if required.
Send Form 6B >
Find our other eServices >