Skip to main content

Official State of Iowa Website Here is how you know

Agencies A-Z Programs & Services

Back to Home Page

Iowa Department of Inspections, Appeals & Licensing

Iowa Workers' Compensation

Search form

Contact
Forms & Publications
Employee & Claimant
Insurance
Home

Quick Links

Forms Index
Ratebook Documents
Information Requests
Q & A Brochure

Nonelection of Coverage Form

File:

14-0175nonelection.pdf

IowaWorkforceDevelopment.gov
Website Feedback
Search
State of Iowa Policies

Address: 150 Des Moines Street, Des Moines, Iowa 50309-1836

Phone: 800-645-4583 (toll-free) or 515-725-4120 (local)
For deaf and hard of hearing, use Relay 711

Fax: 515-281-6501

Disclaimer: The Iowa Division of Workers’ Compensation (DWC) is the state government entity charged with educating the public about Iowa’s workers’ compensation system. This website is provided for informational purposes only. Nothing on this website amends, replaces, or supersedes the Iowa Code, opinions of Iowa courts, Iowa Administrative Code rules, Iowa court rules that govern in cases before the agency, orders of the Iowa Workers' Compensation Commissioner, or decisions of the Iowa Workers' Compensation Commissioner or a deputy commissioner. Any information on this website relating to Iowa law does not constitute an official or legally binding agency interpretation.

American Job Center logo