Workers' Compensation, RI Dept. of Labor and Training
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Insurer Forms

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Form Title
Form Number
Formats Available
Instructions
DWC-36
DWC-04
DWC-31
DWC-01
DWC-09
Not available
Insurer Assessment Return
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Itemized Statement of Compensation - To Be Retired by 12/31/2014
DWC-50
DWC-02
DWC-24
DWC-20
Not available
DWC-32
Not available
DWC-32S
Not available
DWC-25
DWC-22
DWC-51
Subsequent Report of Injury - New 1/2014
DWC-52
DWC-05
DWC-21
DWC-03F

Instructions | Tips

DWC-03P
DWC-03S
DWC-30


 
RI Department of Labor and Training
Workers' Compensation
Center General Complex
1511 Pontiac Avenue, Cranston, RI 02920


Phone: (401) 462-8100
Fax (401) 462-8105
TTY via RI Relay: 711
9/5/14 MDF
State Seal
  DLT is an equal opportunity employer/program. Auxiliary aids and services available upon request