Bwc forms 2026

1. Click ‘Get Form’ to open the Request for Temporary Total Compensation (C-84) in the editor.
2. Begin with Section 1, where you will enter your demographics. Fill in your name, address, and contact information. This ensures BWC can reach you regarding your claim.
3. Move to Section 2 to provide disability information. Indicate whether this is a new period of disability or an extension, and list the last day you worked if applicable.
4. In Section 3, input your employment details. This helps BWC facilitate your return to work and manage payments effectively.
5. Proceed to Section 4 for vocational rehabilitation information. Indicate if you would consider participating in this program.
6. In Section 5, disclose any benefits or earnings received during your disability period. Be thorough in providing requested details.
7. Finally, sign and date the form in Section 6. Ensure all information is accurate before submission.

Start filling out your bwc forms online for free today!