Ph 16 2 2026

1. Click ‘Get Form’ to open the PH-16.2 in the editor.
2. Begin by selecting whether you are the claimant's legal representative or the employer/insurance carrier. Fill in the WCB Case Number and Date of Injury/Illness.
3. Complete the Claimant, Employer, and Carrier sections with accurate information. Ensure all parties-in-interest are listed.
4. In Section 1, provide a concise summary of the claim, including relevant statutory citations.
5. For Section 2a, if applicable, list all defenses raised by the carrier along with supporting evidence.
6. Answer questions in Sections 2b through 12 thoroughly, ensuring that all necessary details are included for clarity.
7. Attach any required documents in Section 6 and ensure they are not already submitted to the Board's electronic case file.
8. Finally, sign and date the form at the bottom before submitting it to ensure compliance with filing requirements.

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