Wisconsin Department of Workforce Development – Worker’s Compensation Division fax number

Fax destination details

Department

Department of Workforce Development, Worker’s Compensation Division (DWD WC)

Purpose

Submitting workers’ compensation-related documents (e.g., Employer’s First Report of Injury, medical reports, wage and injury information) to the Wisconsin WC Division; also used for imaging/document submission.

Form

WKC-12-E — Employer’s First Report of Injury or Disease – Form WKC-12-E

Address

201 E Washington Ave, Madison, WI 53707-7901

Voice phone

608-266-1340

Website

Visit organization website

Before you send

• Confirm that this exact department handles your document or request.
• Check the organization website or call its main line for the current fax number.
• Include a cover sheet and any case, member, claim, or form reference required.
• Keep the delivery confirmation with your submission records.

Follow the official WKC-12-E instructions: employers must submit the form to the WC Division within seven days of an injury with occupational disability, using electronic or mail submission as specified; see official WKC-12-E page for details.