Workers’ Compensation Claim Form (DWC 1)
Attached is the form for filing a workers’ compensation claim with your employer. You should read all of the information below. Keep this sheet and all other papers for your records. You may be eligible for some or all of the benefits listed depending on the nature of your claim. If required you will be notified by the claims administrator ...
Download Workers’ Compensation Claim Form (DWC 1)
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