Questions and Answers for
VR Registration & Certification
VR Continuing Education /
VR Registered Practitioner's lists - PDF
VR Registered Providers List
VR Online WebForms
VR Adobe/Print forms
Nurse Case Managers
PTs & OTs
Medical Fee Guide & Information
Contest Reimbursement, Policies
Forms: Claim for Medical
Services, CMS 1500
HELP! & Support Information
The Basics - How to Begin
Terms Of Service - Legal terms
Attorney Proxy Info
Healthcare Provider Info
Healthcare Provider Delegate
Insurer Delegate Info
Workers' Compensation Agencies
Public Legal Resources
Governmental & General Resouces
Navigation Page (site index)
cannot be filed by email attachment or
FAX; only original forms with original
signatures are accepted.
submitted must be current and as
provided by the Commission.
created/unauthorized or obsolete forms
are not accepted.
The forms and informational materials below are specific to the Maryland Workers' Compensation Commission Medical Fee Guide and the providers and payers of such services provided the injured worker in Maryland. All forms/materials links are require Adobe® Reader to view, complete and/or print these materials. Visitwww.adobe.comfor more information on Adobe®Reader.
Surgeon's Report WCC Form SF-2: Complete the online form (all fields require input) and submit it to the Workers' Compensation Commission by selecting the Submit button on the electronic form. You may print/save the completed form after submission. An email address is required to submit the form. A receipt of form
is sent to the email address entered on the form. All general information pertinent
WCC WebForms on this page or other instructions included with specific forms are applicable.
Please be advised that the
CMS-1500 Form (version 02/12)
has been recently revised
and will be in effect starting
January 6, 2014.
See October 2013 Notices. The CMS 1500 paper form provided by commercial vendors (red ink/OCR) may be used. The CMS 1500 below can be downloaded and saved to your PC and integrated into office systems. No payer may refuse payment when a legible CMS 1500 form is submitted by a provider; handwritten forms may impact fulfillment by automated processes.