Wc15 - Worker'S Claim For Compensation printable pdf download

Wc15 - Worker'S Claim For Compensation

Instructions for Completing the

Workers’ Claim for Compensation

Please read all pages

This form is “fillable.” That means you can type the information onto

the form from your computer and print the form. You will not be able

to save the form onto your computer’s hard drive.

When you open the form, click in the “Employee’s Name”box (field),

and use the tab key to navigate to the next field. Do not use the Enter

key; pressing the Enter key will only page down. Each field has been

limited. This means that you cannot continue to type information into

a field if it doesn’t fit into the space provided.

Use numbers only to fill in the fields for Social Security Number, phone

numbers and dollar amounts. Do not use dashes or parentheses;

when you tab out of the field, it will fill in automatically. If a dollar

amount contains cents, do type the period. To fill in a

check

box,

click inside the box with your mouse. Some fields contain a

drop

down

menu; click on the arrow and select one of the choices.

To clear or delete all the information you have typed onto the form,

click on the red

“Clear Entire

Form” button. To change the information

in one field, use the backspace or delete key.

Wc15 - Worker'S Claim For Compensation