Contact Information

• Website - Division of Worker's Compensation
• Email - Bureau of Claims Management

Use of The WKC-16B - Practitioners Report On Accident Or Industrial Disease In Lieu of Testimony

• Sample of form WKC-16B
• WKC-7760-P - Guide Guide for Wisconsin Doctors - Using the WKC-16B for Worker's Compensation
• Injured worker has applied for a Hearing
• Insurer would like physician to complete in order to provide competent medical testimony without necessity of having the physician take time off from their schedules to appear at the hearing