Workers Comp Claims

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Process for Handling Work Injuries and Illness

When one of your employees is injured on the job, first make sure that he or she receives any necessary medical attention.

All employers must report all work-related fatalities to the Worker’s Compensation Division, Madison Office, within 24 hours of the incident.
Insured employers must report any claim of an injury to their insurance carrier within 7 days. Fax it to us at 715-258-1596.
Self-insured employers and insurance carriers must report injuries which result in four days or more lost time from work to the Worker’s Compensation Division, Madison Office. The report must be on a form WKC-12 – First Report of Injury, or electronically filed, and must be filed within 14 days after the injury. Form WKC-13 – Supplemental Report or its electronic equivalent must be filed by the 30^th day after the injury.
Various medical forms as well as final payment reports may be required as well.

If an employer intentionally fails to file a report of injury, the employer may be assessed a penalty for bad faith up to $15,000 or 200 percent of compensation due.

An employer may be assessed a 10 percent penalty for delay in reporting an injury with the delay causing an untimely payment to the employee. If the penalty amount is not paid by the designated date, a default order may be issued.

For a PDF copy of the Employers 1st Report, click HERE.

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