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 |
| serslandrpt | Sara Sersland.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 | Partial Commutation 14-0017.pdf |
| Original Notice: Vocational Rehabilitation Program Benefit 14-0009 | 14-0009.pdf |
| Original Notice: Independent Medical Examination 14-0007 | 14-0007imefillable.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