Insurers and Self-Insurers

WKC-13 - Supplemental Report of Injury: EDI Format

The format table for electronic subsequent reports details the mandatory, optional and conditional data fields for the various acceptable maintenance type codes.  In addition, there is helpful information contained in the frequently asked questions and pertinent information sections that address various important topics on subsequent reports.

Updated May 02, 2011
Division of Worker's Compensation
Content Contact: WC Administration