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© 2026 WorkCompCentral Workers Compensation Information
| Form Name | Form Number |
|---|---|
| Request For Reconsideration Of Summary Rating To The Administrative Director | DEU 103 |
| Request for reimbursement of accommodation expenses - injuries on or after 07-01-2004 (08-18-2006) | DWC-AD 10005 |
| Request for summary rating determination (of AME's or QME 's report) (06-2005) | DEU 101 |
| Request for Summary Rating Determination of Primary Treating Physician's Report | DEU 102 |
| Sample Initial Written Employee Notification Letter (06/2007) | |
| Sample Initial Written Employee Notification Letter_Spanish (06/2007) | |
| Settlement of prospective vocational rehabilitation services [LC 4646 (b)] | RU 122 |
| Statement of Decline of Vocational Rehabilitation Benefits (pre 1-1-1990) | RB-107 |
| Stipulation and Award and/or Order | WCAB 5 |
| Stipulation And Order To Pay Lien Claimant | WC 904 |
| Stipulations With Request For Award | WCAB 3 |
| Stipulations With Request For Award | WCAB 3 |
| Stipulations With Request For Award (Death Case) | WCAB 4 |
| Subpoena | SDT |
| Subpoena Duces Tecum - WCAB (06/94) | DWC 32 |
| Subpoena Duces Tecum to Produce Records | CAsubpoenaform.pdf |
| Substitution Of Attorney | WCAB 36 |
| Suspected Fraudulent Claim Referral Form | FD-1 |
| Suspected Fraudulent Claim Report | SFC |
| TD Fact Sheet (Spanish) | TD Fact Sheet (SP) |
| Temporary Disability Fact Sheet | Fact Sheet 3a |
| The Basics About Medical Care for Injured Workers (2006) | |
| The Injured Worker | THE INJURED WORKER |
| The Injured Worker (Spanish) | THE INJURED WORKER (SPANI |
| Utilization Review Complaint Form (01-2008) | DWC UR1 |
| Venue Authorization | WC-105 |
| What Every Worker Should Know | Fact 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 |
Apr 14-15, 2026
The Florida Office of Insurance Regulation (FLOIR) invites you to attend its premier Insurance Sum …
Apr 20-22, 2026
The Forum brings the workers' compensation community together to collaborate, share insights and i …
Apr 22-24, 2026
Join us in Monterey for networking, learning and growth. Experience unparalleled opportunities f …