Rhode Island Workers' Compensation

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





Welcome to the RI Workers' Compensation Organization


If you have been injured at your place of employment, call us immediately to have your claim filed or to check your claim status.


Rhode Island Workers' Compensation is insurance that provides Cash Benefits (your wages) and/or Medical Care Payments (all your Medical Bills) for any worker who is injured or becomes ill as a direct result of their job.


If you work any type of paying job and are injured at work, you are entitled to these benefits from insurance programs already in place (not from your employer's pocket) ...and it's the Law that you receive the benefits!


Rhode Island Workers' Compensation is a form of no-fault insurance that provides wage replacement and medical benefits for employees who are injured in the course of employment. The RI Workers' Compensation Organization provides assistance in filing these claims, verifying the status of pending claims, re-evaluation and re-instatment of old claims, and all withhout disrupting your employer and always without any out of pocket expenses to you, the injured worker.




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



2015 Rhode Island Workers Compensation Organization All Rights Reserved.  

                 Rhode Island Workers Compensation