Waiver Of Examination Statewide Disability Evaluation System {BWC-3907}

BWC-3907 / MEDCO-6 - EMPLOYER’S WAIVER OF 90 DAY EXAMINATION. This form is used by an employer to waive the required 90-day medical examination for an injured worker who has been receiving temporary total disability compensation. The waiver may be permanent or temporary, depending on the circumstances provided by the employer. The employer provides specific reasons for the waiver, such as the worker being hospitalized, recovering from surgery, or on track to return to work. The form allows the employer to request follow-up examination dates if necessary and requires the signature of the employer or their representative. www.FormsWorkflow.com