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  2. Forms Repository
  3. WKC-19-E, Admission to Service and Answer to Application

Admission to Service and Answer to Application

Document Number: WKC-19-E

Description: This form is to be filed by the respondent insurer or employer in response to an Application for Hearing. The answer should be filed with the department and copied to the party who filed the application.

Comments: This form is an electronic PDF that can be filled out on your computer.

Instructions: To submit a fillable PDF to the Worker's Compensation Litigated Case Portal, in your PDF reader:

  1. Open the Print menu (ctrl + P)
  2. In the Desination dropdown, select Save as PDF or Microsoft Print to PDF
  3. Name the file and press Save or Print
  4. Open the file and confirm that the PDF contains the completed form fields and is no longer editable.
  5. Upload the file to the Worker's Compensation Litigated Case Portal

Content Contact: Lynn Weinberger

Document Attachments:

WKC-19-E (pdf)

Note: If you need this form in an alternate format, please send a message to the Content Contact listed above.

Contact Information

For questions about this form, or if you need this form in an alternate format, please see the Content Contact (listed to the left)

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