MEMORANDUM NO. 2025-09
| TO: | Administrative Law Judges, District Administrators, Advisory Board, Legal Advisory Panel, Medical Advisory Panel, Medical Practitioners, Self-Insureds, Insurance Carriers, Claimants, Attorneys, and Unions |
| FROM: | Stephen M. Morelli, Chairperson |
| DATE: | October 1, 2025 |
| RE: | WCC Online Form Submission effective October 1, 2025 |
Starting October 1, 2025, the Workers' Compensation Commission (WCC) will accept the submission of certain forms and documents electronically through our enhanced GovQA System. The updated system will streamline the form submission process and make it more convenient for everyone involved. Electronic filing is not required. Parties are still welcome to file forms by mail (certified mail where required), fax, or hand-delivery.
Listed below are the forms and documents WCC will accept through the GovQA System:
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.
The Commission’s new form submission service is a centralized, secure public records system that builds on the current GovQA information and records requests portal. The GovQA portal allows requestors to track their requests and form submissions, while also standardizing workflows for employees.
GovQA is the largest provider of cloud-based Software as a Service (SaaS) automated workflow solutions for government compliance. Its Public Records Management software handles more requests for state and local governments than any other software provider.