DWC-1 Form In the event of an Injury, it is required by law that you provide a workers’ compensation claim form to the injured employee within one working day after the work-related injury or illness is reported.

Create DWC

	ID #	Name	DOI	Injury	Emp. Signature
Send this link to employee:		https://engagealign.com/auto_sign/add_new_ee.php?rand12=2074365192