Workers’ Compensation Documents

Title Link to File
Workers Compensation Question and Answers 2017 00-0026 Workers Compensation Question and Answers Brochure 2017_06.pdf
Waiver for Release of Records 14-0169 14-0169waiverforrecords.pdf
Uniform Guidelines for Preparation of Hearing Exhibits Uniform Guidelines for Preparation of Hearing Exhibits.pdf
The AMA Guides Sixth Edition Task Force Member Report by Marlon D. Mormann mormannreport.pdf
Rulemaking Docket rulemakingdocket.pdf
Response to Mormann Analysis by Peter J. Thill, Defense Attorney thillreport.pdf
Request for File Information 14-0083 14-0083.pdf
Ratebook 2017-2018 Rates Ratebook 2017-2018 Rates.xlsx
Ratebook 2017-2018 Information 2017-2018 ratebook.pdf
Ratebook 2016-2017 Ratebook Cover 2016-2017.pdf
Ratebook 2015-2016 (Excel) RATE BOOK 2015-16 WEB.xlsx
Ratebook 2014-2015 Excel Spreadsheet rb2014-15.xlsx
Ratebook 2014-2015 (Excel) rb2014-15 (1).xlsx
Ratebook 2013 (Excel) 2013 Ratebook (Excel).xlsx
Ratebook 2012 (Excel) 2012-13ratebooktable_0 (1).xlsx
R3 Event Table R3eventtable (1).xls
R3 Edit Matrix EDI_R3_EditMatrix (1).xls
Proof of Coverage pocguide.pdf
Present Value Discount Table presentvaluediscounttable.xls
Preference for Sixth Edition of the AMA Guides serslandreport.pdf
Payment Activity Report 14-0147 14-0147par.pdf
Partial Commutation 14-0017 14-0017Partial Comm9A.pdf
Original Notice: Vocational Rehabilitation Program Benefit 14-0009 14-0009.pdf
Original Notice: Independent Medical Examination 14-0007 14-0007imefillable.pdf
Original Notice: Application for Alternate Medical Care (85.27) 14-0011 14-0011altcarefillable.pdf

Division of Workers' Compensation
Mailing Address:
1000 East Grand Avenue
Des Moines, IA 50319-0209

Physical Address:
150 Des Moines Street
Des Moines, IA 50309

Phone: 515-725-4120 or 800-645-4583
Email: IWD.DWC@iwd.iowa.gov