Workers' Compensation Claims Forms

Online Workers' Compensation Claim Submission and Administration


Workers' Compensation Form General Information

Our online workers’ compensation claims reporting tool icon-export Claims Opening Wizard (iCOW) gives Fund members an easy way to submit workers’ compensation claims (DWC-1’s only). icon-export YCEa is the Fund Administrator’s claim system which can be used to electronically submit Employer’s Wage Statement (DWC Form-3) and  Supplemental Report of Injury (DWC Form-6). (For lost iCOW and YCEa passwords, you may call the Help Desk at 800.913.5651  (Mon – Fri, 7am – 7pm). The Help Desk is limited to supporting these two systems only; all other systems are supported by Fund staff.)

Instructions For Specific Workers' Compensation Form Submission

January 2019 Note for DWC1: For “Company” enter: JIC

DWC-1Q-Button DWC-3Q-Button DWC-6Q-Button


Access for New Users

New users need to request access to iCOW and YCEa by emailing a completed  YCEa External User Login Account Request Form to

For Technical Assistance

If you have a user name and need help resetting your password, contact the Help Desk at 800.913.5651 (Monday-Friday 7:00-7:00).

Manual Forms to Submit via Email

If a member cannot use the online claim submission tool, they can also submit completed claims forms by emailing them to

More Workers' Compensation Information on WC Notices Page

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