Publications and Forms
Questions and Affidavit Regarding Completeness of Medical Information Submitted - Affidavit Form E (WCT-6)
Questions and affidavit for claimant regarding completeness of medical information submitted, form E.
Request by a Health Care Provider for Case Status Information to file a Medical Fee Dispute Application (WC-194)
A form for use by health care provider to determine case status information to file a medical fee dispute application.