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Document Number: WKC-18613-E
Description: Complete this form to receive mileage reimbursement for travel to obtain treatment or attend vocational rehabilitation training due to a worker's compensation claim. The rate is the same as what state employees receive for business related mileage expenses.
Comments: This form can be filled out on the computer as a fillable pdf.
Content Contact: Lynn Weinberger
Document Attachment: WKC-18613-E (Electronic Version - pdf/701 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
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