Dwc 1 2026

1. Click ‘Get Form’ to open the DWC 1 in the editor.
2. Begin by completing the 'Employee' section. Fill in your name, today's date, home address, and social security number.
3. Next, provide details about your injury. Include the date and time of the injury, as well as a description of where it occurred and the body parts affected.
4. If you wish to receive notices electronically, check the appropriate box and enter your email address.
5. Sign the form at the bottom of the 'Employee' section. Keep a copy marked 'Employee’s Temporary Receipt' for your records.
6. Submit the completed form to your employer immediately to avoid delays in processing your claim.
7. Ensure that your employer completes their section of the form within one working day and provides you with a dated copy.

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