Required Reports (Event Table)

In Wisconsin, the Worker's Compensation system has timely reporting requirements associated with certain claim events or changes in the claim status. Claim events that trigger reporting requirements, the required forms to be reported, and the timeframes for reporting are found in the table below. For complete text of provisions, please see Wisconsin Administrative Code DWD 80.02

For complete text of provisions, see Wisconsin Administrative Code DWD 80

Required Reports (Event Table)
Due	Form	Code Requirement
1 day	WKC-12, First Report of Injury	DWD 80.02(1) An employer shall within one day after the death of an employee due to a compensable injury, report the death to the department and the employer’s insurance carrier.
14 days	WKC-12, First Report of Injury	DWD 80.02(2)(a) A first report of injury… on or before the 14th day after an accident or the beginning of a disability from occupational disease.
30 days	WKC-13, Supplemental Report	DWD 80.02(2)(b) A supplementary report, with information required by form WKC-13 on or before the 30th day following the day on which the injury occurred. (First payment & Wage Info)
30 days	WKC13A, Wage Info	DWD 80.02(2)(c) The wage information required by form WKC-13A if the wage is less than the maximum wage
30 days	Part-time employee’s restriction statement if applicable	DWD 80.02(2)(d) A signed statement from the employee to verify that the employee restricts his/her availability on the labor market to part-time employment, and is not actively employed elsewhere.
30 days from event	WKC-13, Supplemental Report. (Accompanied by WKC-16, Final Medical, at end of healing when more than 3 weeks of temporary disability, any PPD or surgery as a result of injury).	DWD 80.02(2)(e) A WKC13 report within 30 days after each of the following events, with a copy to the employee Payment type is changed from TTD or salary continuation in lieu of compensation to PPD TTD benefits or salary continuation in lieu of compensation are reinstated TPD is paid including information 30 days from event required by form WKC-7359-1-E Final payment of compensation is made or salary continuation in lieu of compensation ended
At time of event	WKC13, supplemental report	DWD 80.02(2)(f) Due when: Submitting stipulation or compromise at time of hearing

Required Reports (Event Table)

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