The Workers' Compensation Division (WCD) requires the use of agency forms for certain filings.

Failure to use the correct form may result in the filing being rejected.

Adobe Acrobat

You must use Adobe Acrobat to complete WCD forms electronically. Other PDF readers might not render the forms correctly. 

Before eFiling, Lock or "Flatten" Completed PDF Form

Please lock or "flatten" the PDF document after completing the form fields to ensure the document can be viewed on all devices and to prevent other users from manipulating or editing the information.