Rhode Island Workers' Compensation

       Injured Workers Information Line: (401) 415-6136

 

 

 

Search
 

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.

 

The State of Rhode Island Workers' Compensation is insurance that provides cash benefits and/or medical care for workers who are injured or become ill as a direct result of their job.

 

If you are a Rhode Island employee and are injured at work, you are entitled to financial compensation from your employer's insurance provider ...and it's the Law!

 

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 is designed to provide assistance to employees injured at work for medical expenses and lost wages.

 

 


 

 

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.                                                      

                 Rhode Island Workers Compensation