Last updated: 5/14/2024
Reasonableness Of Fee Dispute Resolution Request {WKC-9498}
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Description
WKC-9498-E - REASONABLENESS OF FEE DISPUTE RESOLUTION REQUEST. The Department of Workforce Development (DWD) administers the Worker's Compensation Act, Chapter 102 Wis. Stats. The purpose of this form is to assist with the procurement of information related to or required by Chapter 102. Completion of this form is voluntary and failure to complete said form may result in a delay in the administration of Chapter 102. DWD may use the personally identifiable information (PII) it obtains from you on this form for purposes other than those for which it is being collected. www.FormsWorkflow.com
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