Wisconsin Workers Comp Forms

Wisconsin state workers compensation forms and employer coverage guide.

We provide free access to most of the forms needed for Workers Compensation Insurance in the state of Wisconsin. We strive to keep these forms up to date and accurate. It is important you confirm with the state website to make sure you are using the most up to date form.

If you have questions about any of these forms please pick up the phone and call one of our Workers Comp Experts. 888-611-7467 They will be more then happy to speak with you about all of your Workers' Compensation Coverage needs.

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Wisconsin Workers Compensation Insurance Forms

WI Acord 130 Workers' Compensation Application.

The standard Acord 130 application form for workers comp coverage in Wisconsin.

Wisconsin First Report of Injury Form

First Report of Injury Form. Employers should complete this form and send to their insurance company each time an injury occurs.

Wisconsin Application for Exclusion of Officers

Owners and Officers of corporations should complete this form to exclude themselves from a work comp policy.

Wisconsin Application for Exclusion of Stockholders

Stockholders should complete this form to exclude themselves from a work comp policy..

Wisconsin Application for Exemption for Workers' Compensation Insurance

Complete this form if you are a sole-proprietor, partnership with no employees or an sole officer of a corporation and would like to be exempt from coverage.

Workers' Compensation Insurance for Employers

Information about workers' compensation in Wisconsin for employers.

Farming and Workers' Compensation In Wisconsin

Information about workers' compensation in Wisconsin for farmers.

Wisconsin Workers' Compensation and Employers Liability Insurance Manual

A comprehensive manual covering Wisconsin Workers' Compensation Laws.

State Resources for Wisconsin

Wisconsin Department of Workforce Development

Workers' Compensation Division
P.O. Box 7901
Madison, WI 53707-7946
608-266-1340
https://dwd.wisconsin.gov/

Wisconsin Compensation Rating Bureau

PO Box 3080
Milwaukee, Wisconsin 53201-3080
262-796-4540
https://www.wcrb.org/WCRB/wcrbhome.htm

Workers compensation insurance is required by law for Wisconsin employers.

Wisconsin forms and applications such as owners inclusion or exclusion forms are sometimes updated by the state. Contact us if you need help or can't find the workers compensation form your need for Wisconsin.

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Visit NCCI for more resources and information about workers' compensation class codes. Visit United States Department of Labor for more information about government agencies managing workers compensation insurance rates.

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