Notice: While unemployment insurance payments have not been impacted by the federal government shutdown at this time, November benefits for FoodShare members have been reduced due to the ongoing shutdown. For questions about using FoodShare benefits, information about benefit delays, or help finding food assistance resources, visit:
Wisconsin Department of Health Services' FoodShare webpage
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-176-E
Description: This form is to be filed when there is approval of compensation resolving a dispute.
Comments: This form if fill enabled and can be complted on a comuter or printed out and comlpted by hand
Content Contact: Lynn Weinberger
Document Attachment:
WKC-176-E (Electronic Version - pdf/733 KB)
WKC-176 (Print Version - pdf/135 KB)
Note: If you need this form in an alternate format, please send a message to the Content Contact listed above.