Compensation Insurance Letters
DATE: November 1, 1999
TO: Claims Handling
Offices for Workers Compensation Insurance Carriers & Wisconsin
Workers Compensation Division
SUBJECT: Fax number
change for optical imaging system facsimile equipment
The fax number for the
Workers Compensation Divisions optical imaging facsimile server has
been changed to (608) 260-2503. The imaging fax server accepts
correspondence, documents and reports associated with a workers
compensation claim via electronic fax. Information sent via this number
will be received directly into the divisions optical imaging system.
The department is also equipped to transmit claim information directly
from the optical imaging system to internal and external clients via fax.
Please use this number to
submit claim documents listed on the fax cover sheet. (Click on " W
" icon at top of page to download in Microsoft Word 6.0.) Unless it
is necessary to meet promptness standards or you are having mail service
problems, please do not routinely fax the following documents:
* WKC-12 The
Employers First Report of Injury or Disease
* WKC-13 Supplementary Report on Accidents and Industrial Diseases
* WKC-13A Wage Information
* Any documents relating to claims pending a hearing or legal decision.
When faxing claim
information to the division, please include the divisions workers
compensation claim number, claimants social security number,
claimants name and date of injury.
Please use the fax cover
sheet (above) when transmitting claim information. This cover sheet will
insure the information you transmit is correctly processed and filed.
Always include your telephone number and return fax number on the cover
Compensation Division now has only one telephone fax number for receipt
and/or transmission of information. The fax telephone number is: (608)
260-2503. We encourage you to use this feature as an alternative to
mailing correspondence to the division.
Questions regarding use
of the divisions fax lines may be directed to Ron Rowin at (608)
267-2486. Thank you for your cooperation.