Workers’ Compensation Documents

Title Link to File
Iowa Workers' Compensation — Questions & Answers Brochure — 2015–2016 00-0026 Workers Compensation Question and Answers Brochure 2015 06 Color.pdf
Iowa Workers' Compensation — Questions & Answers Brochure — 2014–2015 qa14-15.pdf
Iowa Match Data Table March 17, 2000 march2002matchtable.pdf
Iowa Element Requirement Table ertmarch2002.pdf
Iowa Electronic Data Interchange Claim and Reporting Compliance Handbook July 2001 July2001IowaEDIComplianceClaimsHandbook.pdf
Iowa Edit Matrix Table dec2001emtable.pdf
Iowa Conditional Table ictmarch2002.pdf
Iowa Claims Release 3.1 EDI Announcement Iowa Claims Release 3.1 EDI Announcement 11-8-17 (1).pdf
Iowa Claim Event Table march2002claimeventtable.pdf
Interview with Commissioner Joseph Cortese IAWC - Thill Memo Cortese interview .pdf
Instructions for Original Notice & Petition Concerning Independent Medical Examination — Form 100A (14-0007) Instructions for Form -- Independent Medical Examination -- Original Notice & Petition -- July 2019.pdf
Instructions for Original Notice & Petition Concerning Application for Alternate Care — Form 100C (14-0011) Instructions for Form -- Alternate Care -- Original Notice & Petition -- 2019.10.15.pdf
Instructions for Answer Concerning Independent Medical Examination — Form 100A (14-0007A) Instructions for Form -- Independent Medical Examination -- Answer -- July 2019.pdf
Instructions for Answer Concerning Application for Alternate Care, Form 100C (14-0011A) Instructions for Form -- Alternate Care -- Answer -- July 2019.pdf
How to Request a Hearing on WCES How to Schedule a Hearing -- WCES Filer Quick Start Guide -- 2019.1010.pdf
Form — Unrepresented Claimant's Statement — 14-0163 14-0163.pdf
Form — Shorthand Reporter Identification — 14-0178 Shorthand Report Identification -- Form 14-0178 -- July 2019.pdf
Form — Settlements & Commutations — Payment Activity Report (PAR) — 14-0147 Settlements & Commutations -- Payment Activity Report (PAR) -- Form 14-0147.pdf
Form — Medical Report Transmittal — 14-0141 14-0141medtransmit.pdf
Form — Information Request — 14-0083 Information Request -- Form 14-0083 -- 2020.01.pdf
Form — Hearing Report — Second Injury Fund — 14-0047 Hearing Report -- Second Injury Fund -- Form 14-0047 - Word -- Sep. 2019.docx
Form — Hearing Report — No Second Injury Fund — 14-0047 Hearing Report -- No Second Injury Fund -- Form 14-0047 - Word -- Sep. 2019.docx
Form — EDI & Compliance — Payment Activity Report (PAR) — 14-0147 EDI & Compliance -- Payment Activity Report (PAR) -- Form 14-0147.pdf
Form — Dispute Resolution Conference Report — 14-0041 14-0041.pdf
Form — Contingent Settlement — 14-0161 Contingent Settlement -- Form 14-0161 -- July 2019.pdf