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- Click ‘Get Form’ to open the rfa 1w in the editor.
- Begin by filling out your identifying information at the top of the form, including your name, address, and employer's name. If you have a WCB Case Number, include that as well.
- In the 'REASON FOR THIS REQUEST' section, check all applicable boxes that describe your situation. Be sure to attach any required documents as specified next to each checkbox.
- If you are indicating a change in medical condition or compensation payments, ensure you attach relevant medical reports or pay stubs as instructed.
- Complete the signature section at the bottom of the form. Sign and date it before submission.
- Finally, send your completed form along with all attachments via mail, fax, or email to the Workers' Compensation Board using the provided contact details.
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