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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 WC-5
for the current year.
Form WC-5 Employee's Claim for Workers' Compensation Benefits - Hawaii
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What Is Form WC-5?
This is a legal form that was released by the Hawaii Department of Labor & Industrial Relations - a government authority operating within Hawaii. As of today, no separate filing guidelines for the form are provided by the issuing department.
Form Details:
- Released on October 1, 2005;
- The latest edition provided by the Hawaii Department of Labor & Industrial Relations;
- 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 WC-5 by clicking the link below or browse more documents and templates provided by the Hawaii Department of Labor & Industrial Relations.
Download Form WC-5 Employee's Claim for Workers' Compensation Benefits - Hawaii
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