WorkCompCentral's offices will be closed on Monday, January 19, in observance of Martin Luther King, Jr. Day. Our offices will reopen at 9A Pacific on Tuesday, January 20.

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(805) 484-0333
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WCC PDF Forms

Form NameForm Number
Vocational Rehabilitation Reinstatement Request (Spanish)DWC 500R
Vocational Rehabilitation Reply Form
Vocational Rehabilitation Reply Form (Spanish)
Workers' Compensation Claim Form (Rev 6/10)DWC 1
Workers' Compensation Claim Form Instructions(Rev 6/10)DWC 1

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WorkCompCentral
c/o Business Insurance Holdings, Inc.
PO Box 1010
Greenwich, CT 06836
(805) 484-0333