Your health and safety is our number one priority. To help prevent the spread of COVID-19, WSCC offices are closed to visitors. Visit our COVID-19 page for important service updates and to download Risk Assessments and Worksite Precaution Planning for COVID-19 for Employers.

Employer Services Forms

Employer Services Forms

Read each form carefully to ensure you accurately complete it.
Contact us at 1-800-661-0792 if you need assistance, or for more information.



Personal Optional Coverage Application
Request for Review