- Online QME Form 106 Panel Request
- DWC Physician Education
- Search for a workers’ comp case
- Know my rights
- What to do if you get hurt on the job
- Find a fact sheet or I&A guide
- Forms, publications & schedules
- File a complaint
- Pay my bill online
How to use fillable forms
How to view a form on DWC's Web site
How to complete a fillable form
How to print a filled-in form
How to download and save a fillable form to your computer or network to use again
How to erase your data from a filled-in form
How to prepare EAMS OCR forms
How to print EAMS OCR forms
- Identify the form you wish to open.
- Click on the form title link. Adobe Acrobat
Reader should immediately launch and the form display within the browser window.
- If Adobe Acrobat Reader does not launch and you are asked for what type of application to open the file with, download a free copy of the latest Adobe Acrobat Reader from the Adobe Web site. You must have at least Adobe Acrobat Reader 4.0 installed on your computer to view, complete and print DWC fillable forms.
(Macintosh users: please use equivalent commands.)
- Click on the link to open the fillable form in Adobe
Acrobat Reader through your browser.
- Use either the hand tool in the Adobe Acrobat window
or the scroll bar on the right side of the Internet browser window to move
the form around to view all areas.
- To enter text in a form field: Your mouse pointer hand
will change to an "I-beam" over a form field where you can enter
text. Just click in the field and enter text.
- Once you have entered text in a field, press TAB to
accept text entered and go to the next field.
- Press SHIFT+TAB to accept text entered and go to the
- RETURN takes you down another line in a multi-line
- When in a check box, you can click the space bar to put in or take out a check mark.
- Be sure to fill out the form completely before you
print it. Note: The contents of a form field will not print if the
field is active (contains a blinking bar).
- To print the completed form, click the "PRINT"
icon on the Adobe Acrobat tool bar on the form. If you click the "PRINT"
icon on the browser tool bar, you will get a copy of the form embedded in
the Web page.
- Note: Acrobat Reader does not allow you to save what you key into the form, nor can you e-mail the completed form to anyone. If you want to save a completed "fillable" form, see instructions below.
Note: DWC forms are periodically revised. If you choose to download a form to your computer please check back periodically to make sure you have the latest version.
- If you want to save a completed "fillable"
form, you will need to purchase and download an additional Adobe
- Identify the form to download.
- Right-click on the form title link.
- Select "Save Target/Link As. . ." when presented with the pop-up menu.
- Accept the destination directory for the download file (or choose another), and click "SAVE."
- Locate the form where you saved it, then double-click
on the form to open.
- OR -
- Locate and launch the Acrobat Reader program on your
computer by clicking the START button, then PROGRAMS, then Adobe
- Choose FILE, then OPEN, and locate the form file where you saved it.
- Click on the CLEAR button to remove data after
- Note: Not all forms on the DWC site have CLEAR
buttons installed yet
- Close the browser window or close the form.
Be sure to upgrade your free version of Adobe Reader.
1. Click on the link to open the fillable form in Adobe Acrobat Reader through your browser
2. When you open the form you will see a “Highlight Fields” button in the upper right corner. Click this button to activate this feature
3. Depending on your version of Adobe, you may or may not have another button that says “Highlight Required Fields.” If so, click this button as well to activate this feature. This will show you the location of all fields that will accept data—those fields that are required will appear in red
4. Click on the first fillable field. You will get a dialogue box that says “Cannot Save Form Information.” This means that, unless you have a full version of Adobe Acrobat or other software that will allow you to save the filled form, you will only be able to save a blank version of the form to your computer. If you don’t want this message to appear each time you open a form, click on the checkbox in the message that says “Don’t Show Again” and click “Close.” If you want the message to continue to appear, just click “Close.”
5. Fill in all the data you have for the highlighted fields. Do not skip fields if you have the requested information
6. Required fields must be filled in or the form will not be accepted
7. Enter all data in the “ALL CAPS” format. Use the “Caps Lock” function on your keyboard
8. Do not enter any special characters. Don’t use periods, commas, colons, semi-colons, hypens, etc. For example, if you are entering the name Lupe O’brien you will type that in as LUPE OBRIEN. (Dates are an exception to the “no special characters” rule as they are entered using slashes: MM/DD/YYYY)
9. Tab between fields. Tabs are set to facilitate use of the forms for those with disabilities and do not necessarily flow from one field to the next. If you find these settings counterintuitive, use your mouse and left click in the field you need. Press SHIFT+TAB to go to the previous field
10. Several fields have drop-down lists. It is best to use them to populate the field
11. When entering dates, it is best to use the drop-down calendar. Click on the month shown to change; click on the year and use the arrows shown to change. See below:
13. To select a checkbox, either click on the box or tab to the box and press your spacebar to mark the box. Note that there are several instances where you must select one of several checkboxes. Use your mouse to “check” the appropriate one. You may also use your arrow keys to move between the checkboxes
14. Pay attention to the error messages and make any necessary changes. If the corrected data satisfies the error message, press enter on your keyboard. The error message will close and you will be able to continue
After filling out the form completely, the preferred method for printing from Adobe Acrobat Reader is:
1. Click on the print icon on the form itself, which provides the correct settings, or choose the following print settings manually:
a. For Adobe Acrobat Reader versions 7.X.X or older:
- On page scaling, select “Reduce to Printer Margin”
- Check “Auto Rotate and Center”
b. For Adobe Acrobat Reader versions newer than 7.X.X:
- On page scaling, select "Fit to Printable Area"
- Check “Auto Rotate and Center”
- Zoom Factor at 94 percent (see screen shot below)
2. When filling out the forms by hand, keep the following guidelines in mind:
- Print in block letters (no cursive handwriting)
- Print in ALL CAPITAL letters
- Print clearly and legibly
- On addresses, be sure to leave spaces between the street number and the street name or other words.
3. In all situations, please select the highest print quality your printer will provide.