WKC-16, Medical Report on Industrial Injury 2025

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4.7 out of 5

31 votes

The document is a medical report form for industrial injuries, specifically related to worker's compensation claims in Wisconsin. It includes sections for patient history, diagnosis, details on permanent disability, and treatment recommendations. The form requires personal information from the employee, including their Social Security Number, and outlines the process for documenting finger injuries and disabilities.

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Versions	Form popularity	Fillable & printable
2017	4.7 Satisfied (31 Votes)
2010	4 Satisfied (41 Votes)

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