Rhode Island Workers' Compensation

       Injured Workers Claim Information Line: (401) 415-6136





The State of Rhode Island Workers' Compensation Rules 

V. Pro Hac Vice


No person, who is not an attorney and counselor of the Supreme Court of the State of Rhode Island, shall be permitted to act as attorney or counselor for any party in any proceeding, hearing or trial in the Workers’ Compensation Court unless granted leave to do so by the Workers’ Compensation Court or by the Supreme Court. Unless the Workers’ Compensation Court or the Supreme Court permits otherwise, any attorney who is granted such leave to practice before the Workers’ Compensation Court shall not engage in any proceeding, hearing, or trial therein unless there is present in the courtroom for the duration of the proceeding, hearing, or trial a member of the bar of Rhode Island who shall be prepared to continue with the proceeding, hearing or trial in the absence of counsel who has been so granted leave. Subject to the limitations and exceptions set forth in Article II, Rule 9 of the

Supreme Court Rules for the Admission of Attorneys and Others to Practice Law, leave shall be granted by the Workers’ Compensation Court in its discretion upon a miscellaneous petition signed by the petitioner in a form approved by the court [Exhibit A], supported by certifications of the attorney seeking admission pro hac vice and of Rhode Island associate counsel [Exhibit B], and assented to by the party being represented in a client certification [Exhibit C].



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


Settlement Worksheet

Petition for Deceased Employee Benefits




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