Workers' Compensation, Rhode Island Department of Labor and Training

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RI Workers' Compensation Forms Medical Forms

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Medical Fee Schedule Order Form - Please see our Medical Fee Schedule Information Page

 
Form Title
Form Number
Date Revised
Purpose
PDF
Excel
Notification of Claim of Compensable Injury  DWC-29 04/02 Purpose DWC-29  

Physician's Notice of Release to Work

DWC-27/28

 04/02 Purpose DWC-27/28  

Request for Additional Palliative Care

 DWC-40 04/05 Purpose DWC-40  

For additional workers' compensation medical forms, please visit the Medical Advisory Board. If you have questions or comments about medical forms, please contact the Education Unit's Information Line at (401) 462-8100 option 1 or email WCEdcUnit@dlt.ri.gov

 


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Rhode Island Department of Labor and Training
Division of Workers' Compensation
1511 Pontiac Avenue, Building 71-1, First Floor, PO Box 20190, Cranston RI 02920-0942
Email: WCEdcUnit@dlt.ri.gov | Phone: (401) 462-8100 | TDD:(401) 462-8006

updated: May 29, 2009