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Form dwc au 906 2000-2026
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- Click ‘Get Form’ to open the DWC AU 906 2000 in the editor.
- Begin by entering the Claims Administrator Company Name, Address, and Telephone Number in the designated fields.
- Next, fill in the Injured Worker’s Name, Address, and Telephone Number accurately.
- Provide the Claim Number and Date of Injury. Note that injuries prior to January 1, 1990 cannot be considered.
- Input the Employer's Name and any applicable Workers' Compensation Appeals Board Case Number.
- In the 'Specific Details of Complaint' section, clearly outline the nature of your complaint. Be as specific as possible regarding issues like late payments or failure to provide services.
- If you have supporting documentation, attach it using our platform’s upload feature for a complete submission.
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