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VR Forms

The forms listed below can be submitted online via our CompHub portal.
Please log in to CompHub (LINK).
Effective 1/16/2024: The VR-02 (Closure Report) and VR-33 (Insurer’s Report of Rehab Progress) are live in CompHub, under the “Voc Rehab” tab. They are no longer to be submitted using the web forms previously on the WCC website.
  • VR-1 Proposed Vocational Rehabilitation Plan  

  • VR-03 Vocational Rehabilitation Provider 30-Day Progress Report

    VR-2 Vocational Rehabilitation Closure Report

    VR-33 Insurer's Report of Rehabilitation Progress

Online Forms Not in CompHub

Vocational Rehabilitation Processes
  • Vocational Rehabilitation disputes: Parties subscribed to CompHub with a dispute regarding vocational rehabilitation services only can file a Vocational Rehabilitation Dispute form (VR04) for expedited resolution. The parties must file the form online via the Commission’s CompHub. There is no paper version.

    To access the Vocational Rehabilitation Dispute form VR04, log into CompHub.

    Upon receipt of the Vocational Rehabilitation Dispute form, the Duty Commissioner shall contact the parties by telephone the next business day following submission of the form. Parties are required to provide mobile telephone numbers on the form and shall be available the next business day following submission of the form. If the Duty Commissioner is unable to resolve the dispute, a hearing will be scheduled within 5 business days.