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WCC PDF Forms

Form NameForm Number
Voluntary Directive for Alternate Service of Medical-Legal Evaluation Report on Disputed Injury to PsycheQME Form 120
What Every Worker Should KnowFact Sheet #1
Workers' Compensation Claim Form (Rev 6/10)DWC 1
Workers' Compensation Claim Form Instructions(Rev 6/10)DWC 1
Workers' Compensation Claim Form with Instructions (05-2007)I&A 1
Working After a Job InjuryFact sheet #3C
Working After a Job Injury (SP)Fact Sheet #3C (SP)

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