License Application

Document Number:  WKC-34

Description:  This is an application for a license to represent a party at a Worker's Compensation hearing.

Comments:  This form is not fill-enabled. It can be printed and completed by hand.

Content Contact:  Lynn Weinberger

Document Attachment:  WKC-34 (pdf/179 KB)

*** If you need to access this form in an alternate format, please send an email to the Content Contact listed above.

*** 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.

Email DWD DWD Photo Gallery DWD on Twitter DWD on Facebook DWD on YouTube DWD on LinkedIn DWD RSS Feed

A proud partner of the network