How to use or fill out wc102 fillable form 2007 with our platform
- Click ‘Get Form’ to open the wc102 fillable form 2007 in the editor.
- Begin by filling in the 'Board Claim No.' and the employee's identifying information, including their last name, first name, middle initial, social security number, and date of injury.
- In section A, provide details about the county of injury and the employee's address. Ensure all fields are accurately completed for proper identification.
- Next, move to section B where you will request production of documents. Check the boxes next to each document you are requesting from the employer/insurer.
- If applicable, specify any wage records needed for TPD benefits and medical records as outlined in section B.
- Finally, complete section C by certifying that you have sent a copy of this document to all named parties. Print your name, sign, and date the form before submission.
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