Form dwc032 2026

1. Click ‘Get Form’ to open the DWC032 in the editor.
2. Begin by filling out the 'Injured Employee Information' section. Enter the employee's name, social security number, address, county, primary and alternate phone numbers, date of birth, and date of injury.
3. Next, complete the 'Employer Information' section with the employer's name, phone number, and address at the time of injury.
4. Proceed to the 'Insurance Carrier Information' section. Fill in details such as the insurance carrier's name and address, along with adjuster information including their name, email address, and phone number.
5. If applicable, provide information for any injured employee representative in Section IV. Include their contact details.
6. In Section V, enter treating doctor information including their name, contact details, and license number.
7. Complete Sections VI through IX by checking relevant boxes and providing detailed responses regarding examination requests and certifications.
8. Finally, review all entries for accuracy before submitting your completed form via fax or mail as instructed.

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