Legal Forms >> Iowa >> Workers' Compensation
Form #:IA-WC-14-0171 Iowa workers compensation confidential information form. This form must be completed and filed by the employee or claimant along with the original notice and petition for workers compensation benefits. THe information on the form is entered into a database and used by the Worker's Compensation Division to process the claim. The information is not released after it is entered.
Name:Iowa Workers Compensation Confidential Information Form Form Number: IA-WC-14-0171 State:Iowa Statute: Form Category:Workers' Compensation
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