Important Electronic Payment Card (EPC) Update Beginning May 18, 2022, the DLT will be switching to a new vendor for payment cards. Claimants who receive their unemployment insurance or temporary disability insurance payments via EPC will receive a new card in the mail. Please click here for more information.
Medical Forms 1. Notification of Claim of Compensable Injury DWC-29 This form needs to be submitted to the insurer within 3 days of initial visit with a copy for the employee and the attorney. 2. Physician's Notice of Release to Work DWC-27/28 This form needs to be submitted to the insurer within 3 days of release to work with a copy for the employee and the attorney. 3. Request for Additional Palliative Care DWC-40 For additional workers' compensation medical forms, visit the Medical Advisory Board.. If you have questions or comments about medical forms, please contact the Education Unit at: (401) 462-8100 DLT.WCEdcUnit@dlt.ri.gov