WORKERS' COMPENSATION
WORKERS' COMPENSATION COORDINATORS
WC Forms
- UH Form 79 Report Of Work-Related Injury/Illness
- Highlights Of The Hawai‘i Workers’ Compensation Law
- What To Do For Work-Related Injury/Illness
- UH Form 83 Time-Off For Treatment Of Work-Relayed Injury/Illness
- Sample WC-1 Employer’s Report of Industrial Injury
- UH Form 41 Sick/Vacation Pay During Receipt of Workers’ Compensation Disability Benefits
- UH Form 42 Computation Of Average Weekly Wages For Temporary Disability Payments
- UH Form 78 Authorization for Sick/Vacation Pay While Receiving Workers’ Compensation Wage Replacement Benefits
- UH Form 78 Instructions
- Leave and Additional Bargaining Unit Codes for Workers' Compensation Purposes
- Sample WC Letter
Helpful WC Links
- DLIR CY 2009 Maximum Weekly Wage Base and Maximum Weekly Benefit Amount
- DLIR CY 2010 Maximum Weekly Wage Base and Maximum Weekly Benefit Amount
- DLIR CY 2011 Maximum Weekly Wage Base and Maximum Weekly Benefit Amount
- DLIR CY 2012 Maximum Weekly Wage Base and Maximum Weekly Benefit Amount
- DLIR CY 2013 Maximum Weekly Wage Base and Maximum Weekly Benefit Amount
- DLIR CY 2014 Maximum Weekly Wage Base and Maximum Weekly Benefit Amount
- DLIR CY 2015 Maximum Weekly Wage Base and Maximum Weekly Benefit Amount