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This version of the form is not currently in use and is provided for reference only. Download this version of
Form DWC-02
for the current year.
Form DWC-02 Memorandum of Agreement - Rhode Island
What Is Form DWC-02?
This is a legal form that was released by the Rhode Island Department of Labor and Training - a government authority operating within Rhode Island. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is a DWC-02 Memorandum of Agreement?
A: The DWC-02 Memorandum of Agreement is a document used in Rhode Island to outline the terms and conditions of an agreement between an injured employee and their employer or workers' compensation insurer.
Q: What is the purpose of a DWC-02 Memorandum of Agreement?
A: The purpose of a DWC-02 Memorandum of Agreement is to establish a legally binding agreement regarding the injured employee's workers' compensation benefits, including medical treatment and wage loss benefits.
Q: Who uses a DWC-02 Memorandum of Agreement?
A: A DWC-02 Memorandum of Agreement is typically used by injured employees, employers, and workers' compensation insurers in Rhode Island.
Q: What information is included in a DWC-02 Memorandum of Agreement?
A: A DWC-02 Memorandum of Agreement includes the names and contact information of the parties involved, details of the injury and its consequences, the agreed-upon benefits, and any terms or conditions of the agreement.
Q: Is a DWC-02 Memorandum of Agreement legally binding?
A: Yes, a DWC-02 Memorandum of Agreement is legally binding once it is signed by all parties involved and approved by the Rhode Island Division of Workers' Compensation.
Form Details:
- Released on April 1, 2019;
- The latest edition provided by the Rhode Island Department of Labor and Training;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form DWC-02 by clicking the link below or browse more documents and templates provided by the Rhode Island Department of Labor and Training.
Download Form DWC-02 Memorandum of Agreement - Rhode Island
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