This Notification of Services is one of the official workers' compensation forms for the the state of Wisconsin. This Official Workers' Compensation form is fillable in pdf and Word format. This Rehab Services Quarterly Report conforms with all applicable statutory requirements.
Wisconsin Notification of Services for Workers' Compensation
Category:
State:
Wisconsin
Control #:
WI-WKC10146-WC
Format:
Word;
PDF;
Rich Text
Instant download
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Description
How to fill out Wisconsin Notification Of Services For Workers' Compensation?
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FAQ
Asking You to Give a Signed or Recorded Statement Soon After the Work-Related Accident. Asking You to Sign a Medical Authorization Form. Tell You that Hiring an Attorney Will Cost You Money or Slow Down Your Claim.
A prospective employer has no right to ask whether you have had a previous workers' compensation claim. However, a prospective employer does have the right to know if you have an injury or medical condition that will impact on your ability to perform your work duties.
Is Your Employer Required to Provide Workers' Compensation? Under the California workers' compensation law, it is the responsibility of all employers and work situations, even with just one employee, to carry workers' compensation and secure each employee's workers' compensation benefits.
Wisconsin workers' compensation pays valuable benefits to employees with work-related injuries or illnesses. These benefits include medical treatment, weekly payments to help offset earnings you've lost as a result of your injury, vocational rehabilitation, and more.
As a general rule of thumb, you should never discuss anything except the basic facts of the accident, including where it occurred, the date and time it occurred, what type of accident it was, and which body parts were injured.
Get your weekly disability check started, if you're not receiving it already. Maximize your weekly benefit check. Report all super-added injuries. Seek psychological care, when appropriate. Seek pain management care, when appropriate. Don't refuse medical procedures. Be very careful what you tell the doctor.
What RTW / workers' comp information IS confidential? While relevant, recent, work-related medical information is usually not confidential, other medical informationsuch as the individual's medical historyis confidential.
Before you talk to an insurance adjuster, understand their role. Avoid giving lots of details about the accident or your material damages. Avoid giving a lot of details about the injury. Do not sign anything or give a recorded statement. Don't settle on the first offer. With all that in mind2026
Temporary Total Disability: For example, if the medical provider has stated that the injured worker has temporary total disability ; it would not be advisable to partake in activities such as mowing the lawn, shoveling snow, or any recreational activity.