Filing a workers’ comp claim in Wisconsin.
Administered by the Wisconsin Department of Workforce Development, Worker's Compensation Division. Primary form: WKC-12 — Application for Hearing.
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Open Notice of Claim wizardWisconsin State Board
- Agency
- Wisconsin Department of Workforce Development, Worker's Compensation Division
- Primary claim form
- WKC-12 — Application for Hearing
- Official website
- https://dwd.wisconsin.gov/wc/
Deadlines at a glance
30 days from date of injury (notify employer)
Report to your employer first. Put it in writing — email, text, or signed letter. Missing this window can reduce or eliminate benefits.
2 years from date of injury or last benefit; 12 years for occupational disease
File WKC-12 — Application for Hearing with the Wisconsin Department of Workforce Development, Worker's Compensation Division before this window closes.
3 days, retroactive after 7 days
Medical benefits typically begin immediately. The waiting period applies to wage-replacement (TTD/TPD) benefits only.
Wisconsin-specific notes
Wis. Stat. § 102.17.
Federal programs that may apply
The Wisconsin program covers most private-sector workers. Three federal programs run in parallel for specific worker categories:
- FECA — Federal Employees’ Compensation Act. Covers civilian federal employees. Filed through the US DOL, Office of Workers’ Compensation Programs.
- LHWCA — Longshore and Harbor Workers’ Compensation Act. Covers maritime workers (longshoremen, shipbuilders, harbor workers) on navigable US waters.
- Jones Act — 46 U.S.C. § 30104. Covers seamen injured in the course of employment. Provides a negligence cause of action and maintenance and cure rights outside the state WC system.
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