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Electronic Filing – Online Forms

For added flexibility in meeting statutory filing requirements, the Division of Workers’ Compensation (DWC) has several online forms which may be completed and submitted electronically. Below is a list of current online forms. Additional forms will be added over time.

DWC Online Forms use Adobe PDF format. To use DWC Online Forms, users need either the free Adobe Reader or Adobe Acrobat. The free Adobe Reader download is available at http://get.adobe.com/reader/.

Internet Explorer version 10 or higher is the recommended browser.  If you use another web browser, the form must be saved to your computer/Mac before proceeding.

NOTE: DWC Online Forms are not currently configured to work on mobile devices.

Having trouble filing? Call 800-252-7031 ext. 6 for assistance.

Steps to electronically submit a form to the Division of Workers’ Compensation:

  1. Open the form:
    Microsoft Internet Explorer, version 10, or higher (recommended)
    1. Click on the form number.
    2. The form opens.
    Google Chrome
    1. Right-click on the form number.
    2. Choose the “Save Link As" option and save the file on your computer.
    3. Find the saved file on your computer and right click on the file name.
    4. Choose the “Open With” option and select the Adobe option.
    Mozilla Firefox
    1. Click on the form number.
    2. Choose the "Save File" option from the pop-up window.
    3. Find and open the PDF file on your computer.
    4. The form opens in a separate Adobe PDF window.
    Apple Safari
    1. Press the "Ctrl" button and click on the form number.
    2. Choose the “Save Linked File As" option and save the file on your Mac.
    3. Find the saved file on your Mac and right click on the file name.
    4. Choose the “Open With” option and select the Adobe option.
  2. Complete all required fields, (indicated by a red box on the form).
  3. You must save or print a copy before submitting the form to DWC. From the toolbar:
    1. Select File, Save As and choose a location to save a copy on your computer. Saving the file allows you to start and stop your work and open the file on your computer without using the browser.
    2. Select File and Print to print a copy of the form.
  4. When you’re ready to submit the form to DWC, select the Submit Form button.
  5. An acknowledgment of receipt with a confirmation number will display when the form is successfully received by DWC. You may print or save a copy of the acknowledgment for your records using your browsers standard features.

Electronic Filing Best Practices

Electronic Filing Technical Tips

For help submitting the DWC005, check out this YouTube video.

DWC Form-005 tutorial on YouTube


Available Online Forms
Form Number Form Name
DWC020SIfile online Self-Insured Governmental Entity Coverage Information
DWC005file online Employer Notice of No Coverage or Termination of Coverage

For those who submit forms on behalf of others and wish to file one or more submissions of a particular DWC form, a file in XML format may be submitted. The file must adhere to a specific published XML schema which varies depending on which form is the subject of the filing. If you wish to submit an XML formatted filing, please refer to the Electronic Filings – XML Format page.



Last updated: 02/24/2017

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