Quick Reference List of LIBC Forms

Welcome to the department's, Workers' Compensation "Quick Reference LIBC Forms Spreadsheet." This spreadsheet is designed to provide the workers' compensation community with a reference on forms usage after the WCAIS system is in use. This spreadsheet provides information relating to available methods of submitting forms to the bureau and Workers' Compensation Office of Adjudication, forms that must be sent to the claimants, when the revised forms will be required, as well as which forms must be sent to the Workers’ Compensation Office of Adjudication.
 
Please appreciate that this spreadsheet is being provided as a resource to assist the community but does not supersede any statuary or regulatory requirements relating to forms filing. When a copy of a form is required by law to be provided to another party, a true and correct copy of such data and information must be provided to that party consistent with the Act, regulations and/or any applicable department-issued policy statement or written guidance.
 
Contact UsCommonwealth PortalContact the Web Team | Privacy PolicyDisclaimer
Copyright ©  Commonwealth of Pennsylvania