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VR Forms

The forms listed can be submitted online via the link below.  Please read all instructions before using online forms.
  • VR-03 Vocational Rehabilitation Provider 30-Day Progress Report

  • VR-2 Vocational Rehabilitation Closure Report

  • VR-33 Insurer's Report of Rehabilitation Progress

Click here for online forms and instructions.

You may not submit form(s) below via FAX, email or email attachment; the signed original must be mailed to the WCC street address provided on the form.  Some PDF forms can be completed in Adobe Reader; you may use the typewriter tool if available in your installed Adobe Reader version.  Forms submitted to WCC must be current and as provided; altered, incomplete, unauthorized or obsolete forms are returned without processing.


Vocational Rehabilitation Processes
  • Vocational Rehabilitation disputes: Parties subscribed to our Online Services 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 electronically via the Commission’s Online Services; there is no paper version.

    To access the Vocational Rehabilitation Dispute form VR04, log into Online Services and choose File Forms, selecting it from the list. The VR04 cannot be used to file other issues. If an emergency hearing is needed for other issues you must file a Request for Emergency Hearing form H26R.

    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 current 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.