Forms
Resources, worksheets, and publications
Where can I get workers’ compensation forms, resources, worksheets, and publications?
Forms
Find important workers’ compensation forms here, including Form 30C (PDF) and Hearing Request (PDF).
Download Hearing Request form (PDF) here
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Note: It’s very important that you file a claim with your employer. If you wait, it may be more difficult to prove that your injury or illness is work-related. You should consider getting a signed and dated receipt from them. You can also request a return receipt when you mail the form by certified or registered mail.
Complete and send us Form 30C: Notice of Claim for Compensation (PDF) as soon as possible. Doing so helps to protect your right to get benefits. You must submit the form within one year of getting injured. Instructions on the form tell you how to send a copy of the form to:
- The right WCC district office
- And your employer
Make sure you:
- Keep a copy of your completed form
- File in time!
You or your attorney should fill these forms out. They’re for W-2 workers, independent contractors, sole proprietors, and LLCs. Please use the official forms. Doing so ensures your documents are up-to-date, accurate, and meet statutory requirements. All forms are available as PDFs. Most of them can be easily filled out online, printed, and saved.
Resources, worksheets, and publications
Claim-Filing - Location Service