Workers’ Compensation Documents

Title Link to File
R3 Edit Matrix EDI_R3_EditMatrix (1).xls
Quick Start Guide for WCES WCES Quick Start Guide for Filers -- 2019.10.10.pdf
Proof of Coverage pocguide.pdf
Present Value Discount Table presentvaluediscounttable.xls
Preference for Sixth Edition of the AMA Guides serslandreport.pdf
PDF of FAQ: Filing a Document When You Can't eFile FAQ -- Filing a Document When You Can't eFile on WCES.pdf
Original Notice and Petition Form No. 100 (Fillable) 14-0005 form100fillable.pdf
Original Notice & Petition Concerning Independent Medical Examination — Form 100A (140007) Independent Medical Exam -- Original Notice & Petition -- Form 100A - 14-0007 -- July 2019.pdf
Order: In the Matter of Change in Location for Hearings Held in Davenport Order -- Change in Location for Hearings Held in Davenport -- July 30, 2019.pdf
Order: In re Hearings at Road Venues On or After January 1, 2020 Order -- In re Hearings at Road Venues On or After January 1, 2020 -- Oct. 9, 2019.pdf
Order — WCES — Scheduling Hearings Order -- In re Scheduling Hearings Using the Workers' Compensation Electronic System -- Oct. 7, 2019.pdf
Order — WCES — Proposed Exhibits Order RE Proposed Exhibits.pdf
Order — WCES — Payment of Filing Fees During Transition Order -- In the Matter of Payment of Filing Fees During the Transition to the Workers' Compensation Electronic System (WCES).pdf
Order — WCES — Electronic Payment of Filing Fees Order -- In the Matter of Electronic Payment of Filing Fees Using the Workers' Compensation Electronic System (WCES) -- Jan. 3, 2020.pdf
Order — WCES — Date Stamps Order -- What Date Stamp Governs for Docs Paper-Filed From July 1 through July 19, 2019 -- Aug. 2, 2019.pdf
Order — WCES — Claimant's Confidential Information Sheet Order -- In the Matter of Electronic Filing of the Claimant's Confidential Information Sheet, Form 14-0171, on the Workers' Compensation Electronic System (WCES).pdf
Order — WCES — Certain Deadlines for eFiling Order -- In The Matter of Certain Deadlines for Filing on the Workers' Compensation Electronic System (WCES) -- Filed July 15, 2019.pdf
Order — Delegation — Settlements Delegation Standing Order - Settlements.pdf
Order — Delegation — Independent Medical Examination (IME) Delegation Standing Order - IME 03-14-2016.pdf
Order — Delegation — Health Fee Dispute Delegation Standing Order - Health Fee Dispute 02-16-2015.pdf
Order — Delegation — First Reports of Injury (FROI) Delegation Standing Order - FROI 02-16-2015.pdf
Order — Delegation — Appeals Delegation Standing Order - Appeals.pdf
Order — Delegation — Alternate Care Delegation Standing Order - Alternate Medical Care 02-16-2015.pdf
Order — Declaratory — Profit Sharing Bonus and Continuous Improvement Pay Plan JOHN DEERE Declaratory Order Regarding Profit Sharing Bonus and Continuous Improvement Pay Plan.pdf
Order of the Commissioner: Delegation of Authority -- Appeals Order -- Delegation of Authority -- Appeals -- November 4, 2019.pdf