Outdated or Unsupported Browser Detected
DWD's website uses the latest technology. This makes our site faster and easier to use across all devices. Unfortunatley, your browser is out of date and is not supported. An update is not required, but it is strongly recommended to improve your browsing experience. To update Internet Explorer to Microsoft Edge visit their website.
Document Number: WKC-13-E
Description: This supplemental report is to be filed by the insurer or self-insured employer when payments are started, stopped, suspended or changed. Except for fatal, perm total and litigated claims, as well as claims with social security offset and ttd non-escalating, the information on this form must be sent to the WC Division electronically.
Comments: This form is an electronic Microsoft Word template that can be filled out on your computer (if you have Microsoft Word). We are also providing a PDF (WKC-13) which you can print and complete by hand.
Content Contact: Lynn Weinberger
Document Attachments:
WKC-13-E (Electronic Version - Word/115 KB)
WKC-13 (Print Version - pdf/115 KB)
Note: If you need this form in an alternate format, please send a message to the Content Contact listed above.
DWD Contact Information
201 E. Washington Ave
P.O. Box 7946
Madison, WI 53707
(608) 266-3131
Sign up for DWD news and updates
A proud partner of the 
network