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Document Number: WKC-19
Description: To be filed by the respondent insurer or employer with the department and the party filing application for hearing. Must be filed within 20 days after service of the application to the department.
Comments: This form is not fill enabled. It can be printed and completed by hand.
Content Contact: Don Martin
Document Attachment: WKC-19 (pdf/20 KB)
***Should you require the necessary software to view the above attachment, please go to the DWD Viewers Download Page. Links to each specific vendor's site have been provided for you. Thank you.
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