Form WC-5 Employee's Claim for Workers' Compensation Benefits - Hawaii

Notification Icon This version of the form is not currently in use and is provided for reference only. Download this version of Form WC-5 for the current year.

Form WC-5 Employee's Claim for Workers' Compensation Benefits - Hawaii

What Is Form WC-5?

This is a legal form that was released by the Hawaii Department of Labor & Industrial Relations - a government authority operating within Hawaii. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on October 1, 2005;
  • The latest edition provided by the Hawaii Department of Labor & Industrial Relations;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form WC-5 by clicking the link below or browse more documents and templates provided by the Hawaii Department of Labor & Industrial Relations.

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Download Form WC-5 Employee's Claim for Workers' Compensation Benefits - Hawaii

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