Rehabilitation Forms

 

link opens in new browser tab  WCR-1

PDF File:  1 page; Last revised June 14, 2024
 

Rehabilitation Request

The Form WCR-1 Rehabilitation Request should be completed by the injured employee, or another party referring the injured employee, to apply for workers’ rehabilitation benefits administered by the Workers’ Compensation Commission.

The form must be signed by the injured employee.

 


 

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