Form WC-1 2026

1. Click ‘Get Form’ to open Form WC-1 in the editor. This form is essential for reporting an employee's injury or occupational disease.
2. Begin by filling out Section A, which includes identifying information about the employee. Enter the employee's last name, first name, middle initial, social security number, and date of injury.
3. Indicate the employee's gender and provide their birthdate, phone number, email address, and home address. Ensure all details are accurate for effective processing.
4. Next, complete the employer’s information section. Include the employer's name, address, phone number, and NAICS code to identify the nature of business.
5. Proceed to Section B for income benefits. Fill in details regarding wage rate at the time of injury and whether the employee received full pay on that date.
6. In Section C or D, provide any necessary notices regarding payment of compensation or medical-only injuries as applicable.

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