The Rhode Island Workers' Compensation Organization

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The content of this website is provided for informational purposes only, and should not be construed as legal advice.Always consult with an attorney regarding any legal issues. This Web site is used as an advertising platform for attorneys. It is not a lawyer referral service or prepaid legal services plan. The RhodeIslandLegalAssistance.org not a law firm. The sole basis for the inclusion of the participating lawyers or law firms is the payment of a fee for practice areas and geographical advertising rights.RhodeIslandLegalAssistance.org does not endorse or recommend any lawyer or law firm who participates in the network. RhodeIslandLegalAssistance.org websites operate 24 hours a day, and a visitor can submit their case at any time to find a lawyer, and will never be charged to use the service. The information contained herein is not legal advice. All case evaluations are performed by an attorney or law firm. Any information provided to RhodeIslandLegalAssistance.org may not be protected by the attorney-client privilege.

 


 

 

Helpful Links & Forms

Begin Claim Process Online

Contact Us / Ask a Question

DWC_01 Employer's First Report

DWC_02 Memorandum of Agreement

DWC_03 Wage Statement Full-Time

DWC_03P Wage Statement Part-Time

DWC_03S Wage Statement Seasonal

DWC_04 Employees' Certificate

DWC_05 Suspension Agreement

DWC_20 Non-Prejudicial Agreement

DWC_22 Report of Indemnity Payment

DWC_24 Mutual Agreement

DWC_25 Report of Earnings

DWC_30 Wage Transcript

DWC_31 Employee's Objection

DWC_32 Notice to Employee 

DWC_50 Itemized Statement

DWC_51 Report of Specific Payment

Petition Coversheet

Original Petition

Employee's Petition To Review 

Employer's Petition to Review

Petition for Payment for Medical Services

Request For Major Surgery

Claim For Trial 

Appeal to the Appellate Division

Stipulation

Settlement Worksheet

Petition for Deceased Employee Benefits

 

© 2011 Rhode Island Legal Assistance Organization All Rights Reserved.                                                                          RI Workers Compensation  / Rhode Island Workers Compensation