eFiling Tips: Original Notice & Petition (Form 100)

The Iowa Division of Workers' Compensation (DWC) requires parties to electronically file (eFile) on the Workers' Compensation Electronic System (WCES).

This includes Form 100, Original Notice & Petition. To use the DWC forms library, click here.

This page contains tips for completing and eFiling a Form 100, Original Notice & Petition, on WCES.

Do not efile a confidential information form with a petition on WCES.

The Iowa Workers' Compensation Commissioner issued an order governing the submission of confidential information when eFiling a petition on WCES. To view the order, click here.

Under the order, a party may not eFile a claimant's confidential information form on WCES when eFiling a Form 100, Original Notice & Petition. Instead, the filer must provide or update, as appropriate, the party's information on the party/case participant information page on WCES. 

If you eFile a claimant's confidential information form with your petition on WCES, DWC may reject your filing.

Do not eFile a release of records form with a petition on WCES.

A release of records form is not required when eFiling a petition on WCES.

If you eFile a release of information form with your petition on WCES, DWC may reject your filing.

eFile a petition for each alleged date of injury, unless you're alleging a cumulative injury.

DWC will not approve a petition if the eFiled PDF containing the petition includes more than one petition. If you are alleging multiple date(s) of injury, you must eFile a separate petition for each alleged date of injury unless you explain in Paragraph 4 of your Form 100, Original Notice & Petition, that the alleged injury is cumulative. 

If you eFile a PDF that contains multiple petitions, DWC may reject your filing.

Check the box(es) for all issues in dispute.

When completing a Form 100, Original Notice & Petition, the claimant must identify the issues in dispute by checking the appropriate box(es) on the upper right-hand side, next to the blanks in which to name the claimant, employer, and insurance carrier (if any).

If you eFile a petition with no boxes checked, DWC may reject your filing.

eFile to the correct file number.

When eFiling a Form 100, Original Notice & Petition, you must eFile to the correct DWC file number.

For eFiling tips on using the correct DWC file number, click here.

If you eFile a petition under an incorrect DWC file number, DWC may reject your filing.

Identify the correct parties.

Make sure that your petition identifies the correct claimant, employer, and insurance carrier (if any).

If you eFile a petition that incorrectly identifies a party, DWC may reject your filing.

Pay the filing fee.

Under agency rules, you must pay the filing fee of $100 for each petition filed unless DWC has granted an application to defer filing fees.

The Commissioner issued an order on the payment of filing fees during the transition to WCES. To view the order, click here.

Within 14 days of eFiling your petition(s) on WCES, DWC must receive a check from you in the amount of $100 for each petition filed or one check for the total amount due for all petitions filed, payable to the Iowa Division of Workers' Compensation.

You must mail your check to:

Division of Workers' Compensation
1000 E. Grand Ave.
Des Moines, IA 50319

If you fail to timely pay your filing fee, DWC may dismiss your petition.

Note:  After a transition period, filing fees will be paid on WCES with a valid credit or debit card or by electronic check.

User Guide

For written instructions on how to eFile on WCES, click here.

Tutorial Videos

To view tutorial videos on how to eFile on WCES, click here.

More eFiling Tips

For more eFiling tips, click here.

eFiling on WCES

For more resources relating to eFiling on WCES, click here.