Wisconsin Workers Compensation Forms

WKC-12 --- Employer's First Report of Injury or Disease
WKC-12-E? (English Electronic Version - Word)
WKC-12?(English Print Version - pdf)
WKC-12-E-S?(Spanish Electronic Version - Word)
WKC-12-S?(Spanish Print Version - pdf)

CL 506 --- Wage Statement

 
 
 
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Church Mutual Insurance Company, S.I. (a stock insurer)
P.O. Box 357 | 3000 Schuster Lane | Merrill, WI 54452-0357
Telephone (800) 554-2642 or (715) 536-5577

© 2024 Church Mutual Insurance Company, S.I. All rights reserved. Protecting the Greater Good is a registered trademark of Church Mutual Insurance Company, S.I.

Church Mutual is a stock insurer whose policyholders are members of the parent mutual holding company formed on 1/1/20. S.I. = a stock insurer.