Hearing Report -- Form 14-0047 - Word Format -- August 2019

August 9, 2019

The Iowa Division of Workers' Compensation (DWC) has released new versions of the hearing report form in Microsoft Word format.

Form

The parties must jointly complete and eFile a hearing report in Microsoft Word format on WCES at least 14 days prior to hearing.

The DWC has created two variations of the hearing report form in Microsoft Word format:  One for cases in which the Second Injury Fund of Iowa (SIF) is not a party and another for cases in which SIF is a party.

No-SIF Version

To download the hearing report form in Microsoft Word format for cases in which SIF is not a party, click here.

sif Version

To download the hearing report form in Microsoft Word format for cases in which SIF is a party, click here.

Instructions

To type text into a blank on the form, click on the blank so that the field is highlighted and type.

To select whether an issue is "Stipulated" or "Disputed" and whether a defense is "Asserted" or "Waived":

  1.  Click on the blank so the field is highlighted.
  2. Click on the arrow to the right of the blank.
  3. Select from the drop-down.

To check a box, move your cursor arrow over the center of the box and left-click.

Mandatory eFiling

The DWC requires electronic filing (eFiling) on the Workers' Compensation Electronic System (WCES).

The completed hearing report form must be eFiled on WCES.

For more information about eFiling on WCES, click here.